Postoperative Refractive Changes after Optic Capturing.

Park, Hong Jae; Kim, Wan Soo

Original Article

Journal of the Korean Ophthalmological Society 2006;47(6):913-917.
Published online June 30, 2006.

Postoperative Refractive Changes after Optic Capturing.

Hong Jae Park, Wan Soo Kim

Department of Ophthalmology, Maryknoll Hospital, Busan, Korea. wansookim@yahoo.com

인공수정체 광학부 포획 환자에서 술 후 굴절치의 변화

박홍재,김완수

Department of Ophthalmology, Maryknoll Hospital, Busan, Korea

Correspondence: Hong Jae Park, M.D.

Abstract

PURPOSE
To present postoperative refractive changes in patients with optic capturing. METHODS: This retrospective review was comprised of 81 eyes of 69 presenile and senile cataract patients who had undergone cataract surgeries, and 20 eyes of 11 pediatric cataract patients who had undergone irrigation and aspiration of the cataract, posterior continuous curvilinear capsulorhexis (PCCC) and optic capturing. Presenile and senile cataract patients were divided into three groups: Group I: Phacoemulsification with posterior chamber lens implantation (Phaco with PCL), 37 eyes; Group II: Phaco with PCL and PCCC, 22 eyes; Group III: Phaco with PCL, PCCC and optic capturing, 22 eyes. Preoperative target refractive error and postoperative refractive errors were compared postoperatively. RESULTS: Hyperopic shiftings were noticed in Groups I and II, but were not statistically significanct. However, statistically significant hyperopic shifting was found in Group III. In pediatric populations, we found no statistically significant refractive changes. CONCLUSIONS: PCCC alone does not cause refractive change postoperatively. When performing optic capturing, postoperative hyperopic shifting must be considered.

Key Words: Hyperopic shifting;Intraocular lens;Optic capturing