J Korean Ophthalmol Soc > Volume 49(2); 2008 > Article
Journal of the Korean Ophthalmological Society 2008;49(2):245-252.
DOI: https://doi.org/10.3341/jkos.2008.49.2.245    Published online February 29, 2008.
Comparison of Long-Term Results between One-piece and Three-piece Acrylate Intraocular Lens.
Hwan Heo, Hwang Gyun Kim, Kyung Chul Yoon, Yeoung Geol Park
Department of Ophthalmology, Chonnam National University Medical School & Hospital, Chonnam National Research Institute for Medical Sciences, Gwangju, Korea. kcyoon@chonnam.ac.kr
일체형과 삼체형 아크릴 인공수정체의 장기 추적관찰 결과의 비교
허환ㆍ김황균ㆍ윤경철ㆍ박영걸
"Department of Ophthalmology, Chonnam National University Medical School & Hospital, Chonnam National Research Institute for Medical Sciences, Gwangju, Korea"
Correspondence:  Hwan Heo, M.D.
Abstract
PURPOSE
To compare the long-term clinical results of one-piece Acrysof(R) (SA60AT) hydrophobic acrylic intraocular lens (IOL) implantation compared with implantation of three-piece Acrysof(R) (MA60BM) hydrophobic acrylic IOL. METHODS: We retrospectively analyzed each 50 eyes of 50 patients underwent MA60BM or SA60AT IOL implantation and followed for at least 6 months. RESULTS: Final visual acuity of 0.5 or better was 38 eyes (76%) and 0.8 or better was 20 eyes (40%) in the SA60AT group. In the MA60BM group, it was 41 eyes (82%) and 23 eyes (46%) respectively. There were no significantly differences in predictability, intraocular pressure, endothelial cell density, astigmatism, and incidence of posterior capsule opacification between the two groups. Spherical equivalent at postoperative 1 week was -0.50+/-0.95D in SA60AT group and was -0.31+/-0.88D in MA60BM group (P=0.04). However, there was no significant difference between the two groups during follow up period. In MA60BM group, anterior chamber depth (P=0.02) and distance between iris and IOL (P=0.04) reduced significantly during the first postoperative month. CONCLUSIONS: Early postoperative axial displacement and changes in spherical equivalent can be occurred in MA60BM group. However there was no difference in long-term clinical results between SA60AT and MA60BM groups.
Key Words: Axial displacement;Hydrophobic acrylic intraocular lens;Refractive stability


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