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Update of the Intraocular Lens

Update of the Intraocular Lens A series of 795 primary intraocular lens (IOL) implantations performed at the Wilmer Institute during the past 6 years by two surgeons were reviewed. Progressive corneal endothelial-cell loss and an increased rate of late-onset corneal edema were detected in the group with the Morcher (European) four-loop iris-clip Binkhorst IOLs. Clinically significant cystoid macular edema was more frequent in eyes with the American four-loop Binkhorst lens, presumably due to chronic iritis caused by contaminants on the IOLs. Our short-term results with the American Shearing-type IOLs implanted at the time of extracapsular cataract extraction are encouraging, with 98% of the cases achieving 20/40 vision or better, excluding those with known macular degeneration or amblyopia. A continued cautious approach to IOL implantation is recommended. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Ophthalmologica Karger

Update of the Intraocular Lens

Ophthalmologica , Volume 187 (2): 9 – Jan 1, 2010

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Publisher
Karger
Copyright
© 1983 S. Karger AG, Basel
ISSN
0030-3755
eISSN
1423-0267
DOI
10.1159/000309304
Publisher site
See Article on Publisher Site

Abstract

A series of 795 primary intraocular lens (IOL) implantations performed at the Wilmer Institute during the past 6 years by two surgeons were reviewed. Progressive corneal endothelial-cell loss and an increased rate of late-onset corneal edema were detected in the group with the Morcher (European) four-loop iris-clip Binkhorst IOLs. Clinically significant cystoid macular edema was more frequent in eyes with the American four-loop Binkhorst lens, presumably due to chronic iritis caused by contaminants on the IOLs. Our short-term results with the American Shearing-type IOLs implanted at the time of extracapsular cataract extraction are encouraging, with 98% of the cases achieving 20/40 vision or better, excluding those with known macular degeneration or amblyopia. A continued cautious approach to IOL implantation is recommended.

Journal

OphthalmologicaKarger

Published: Jan 1, 2010

Keywords: Intraocular lens; Corneal edema; Cystoid macular edema; Hypopyon; Cataract extraction; Inflammation; Corneal endothelium; Specular microscopy

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