Longer axial length is associated with better prediction for refractive error after sutureless flanged intrascleral fixation of intraocular lens

Objective To investigate refractive outcomes and associated factors after sutureless flanged intrascleral fixation of intraocular lens (SFIF-IOL). Methods We retrospectively reviewed the medical records of consecutive patients who underwent SFIF-IOL at a single centre. The prediction error (PE; diff...

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Veröffentlicht in:Eye (London) 2024-04, Vol.38 (5), p.988-993
Hauptverfasser: Oh, Richul, Bae, Kunho, Yoon, Chang Ki, Yoon, Chang Ho, Lee, Eun Kyoung, Park, Un Chul
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container_issue 5
container_start_page 988
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creator Oh, Richul
Bae, Kunho
Yoon, Chang Ki
Yoon, Chang Ho
Lee, Eun Kyoung
Park, Un Chul
description Objective To investigate refractive outcomes and associated factors after sutureless flanged intrascleral fixation of intraocular lens (SFIF-IOL). Methods We retrospectively reviewed the medical records of consecutive patients who underwent SFIF-IOL at a single centre. The prediction error (PE; difference between the achieved and target refractive error) and absolute PE (APE) were analysed. Risk factors associated with refractive surprise, defined as APE > +0.5 D, were investigated using multivariable logistic regression analysis. Results Ninety-one eyes were included. At the final follow-up, the mean PE and APE were +0.07 ± 0.88 and +0.68 ± 0.56 D, respectively. Refractive surprise was observed in 44 eyes (54.3%) and was associated with a shorter axial length (AL) [odds ratio, 0.825; 95% confidence interval, 0.688–0.991; P  = 0.039]. APE showed a significant correlation with AL at the final visit (⍴ = −0.269, P  = 0.010), and eyes with AL ≥ 26 mm had significantly lower APE than did those with AL of 24–26 mm ( P  = 0.021) and AL 
doi_str_mv 10.1038/s41433-023-02819-y
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Methods We retrospectively reviewed the medical records of consecutive patients who underwent SFIF-IOL at a single centre. The prediction error (PE; difference between the achieved and target refractive error) and absolute PE (APE) were analysed. Risk factors associated with refractive surprise, defined as APE &gt; +0.5 D, were investigated using multivariable logistic regression analysis. Results Ninety-one eyes were included. At the final follow-up, the mean PE and APE were +0.07 ± 0.88 and +0.68 ± 0.56 D, respectively. Refractive surprise was observed in 44 eyes (54.3%) and was associated with a shorter axial length (AL) [odds ratio, 0.825; 95% confidence interval, 0.688–0.991; P  = 0.039]. APE showed a significant correlation with AL at the final visit (⍴ = −0.269, P  = 0.010), and eyes with AL ≥ 26 mm had significantly lower APE than did those with AL of 24–26 mm ( P  = 0.021) and AL &lt; 24 mm ( P  = 0.0059). Conclusions The refractive outcome after SFIF-IOL using manufacturer’s A constant was favourable on average. Eyes with a longer AL were more likely to show a smaller deviation from the target refraction.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/s41433-023-02819-y</identifier><identifier>PMID: 37985727</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/3161/3168 ; 692/699/3161/3174 ; Animals ; Biometry ; Hominidae ; Humans ; Intraocular lenses ; Laboratory Medicine ; Lens Implantation, Intraocular - adverse effects ; Lenses, Intraocular - adverse effects ; Medical records ; Medicine ; Medicine &amp; Public Health ; Ophthalmology ; Pharmaceutical Sciences/Technology ; Refraction, Ocular ; Refractive Errors ; Retrospective Studies ; Risk factors ; Surgery ; Surgical Oncology</subject><ispartof>Eye (London), 2024-04, Vol.38 (5), p.988-993</ispartof><rights>The Author(s), under exclusive licence to The Royal College of Ophthalmologists 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to The Royal College of Ophthalmologists.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-d83bf8738bf1ebbd264d6dbde218ac55589b1e854e8ed614449f973f0fa7282a3</cites><orcidid>0000-0002-6339-1235 ; 0000-0001-7387-1315 ; 0000-0003-3221-5121 ; 0000-0002-3588-4497 ; 0000-0001-7825-6813</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41433-023-02819-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41433-023-02819-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37985727$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oh, Richul</creatorcontrib><creatorcontrib>Bae, Kunho</creatorcontrib><creatorcontrib>Yoon, Chang Ki</creatorcontrib><creatorcontrib>Yoon, Chang Ho</creatorcontrib><creatorcontrib>Lee, Eun Kyoung</creatorcontrib><creatorcontrib>Park, Un Chul</creatorcontrib><title>Longer axial length is associated with better prediction for refractive error after sutureless flanged intrascleral fixation of intraocular lens</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>Objective To investigate refractive outcomes and associated factors after sutureless flanged intrascleral fixation of intraocular lens (SFIF-IOL). Methods We retrospectively reviewed the medical records of consecutive patients who underwent SFIF-IOL at a single centre. The prediction error (PE; difference between the achieved and target refractive error) and absolute PE (APE) were analysed. Risk factors associated with refractive surprise, defined as APE &gt; +0.5 D, were investigated using multivariable logistic regression analysis. Results Ninety-one eyes were included. At the final follow-up, the mean PE and APE were +0.07 ± 0.88 and +0.68 ± 0.56 D, respectively. Refractive surprise was observed in 44 eyes (54.3%) and was associated with a shorter axial length (AL) [odds ratio, 0.825; 95% confidence interval, 0.688–0.991; P  = 0.039]. APE showed a significant correlation with AL at the final visit (⍴ = −0.269, P  = 0.010), and eyes with AL ≥ 26 mm had significantly lower APE than did those with AL of 24–26 mm ( P  = 0.021) and AL &lt; 24 mm ( P  = 0.0059). Conclusions The refractive outcome after SFIF-IOL using manufacturer’s A constant was favourable on average. 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Bae, Kunho ; Yoon, Chang Ki ; Yoon, Chang Ho ; Lee, Eun Kyoung ; Park, Un Chul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-d83bf8738bf1ebbd264d6dbde218ac55589b1e854e8ed614449f973f0fa7282a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>692/699/3161/3168</topic><topic>692/699/3161/3174</topic><topic>Animals</topic><topic>Biometry</topic><topic>Hominidae</topic><topic>Humans</topic><topic>Intraocular lenses</topic><topic>Laboratory Medicine</topic><topic>Lens Implantation, Intraocular - adverse effects</topic><topic>Lenses, Intraocular - adverse effects</topic><topic>Medical records</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Ophthalmology</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Refraction, Ocular</topic><topic>Refractive Errors</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oh, Richul</creatorcontrib><creatorcontrib>Bae, Kunho</creatorcontrib><creatorcontrib>Yoon, Chang Ki</creatorcontrib><creatorcontrib>Yoon, Chang Ho</creatorcontrib><creatorcontrib>Lee, Eun Kyoung</creatorcontrib><creatorcontrib>Park, Un Chul</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oh, Richul</au><au>Bae, Kunho</au><au>Yoon, Chang Ki</au><au>Yoon, Chang Ho</au><au>Lee, Eun Kyoung</au><au>Park, Un Chul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Longer axial length is associated with better prediction for refractive error after sutureless flanged intrascleral fixation of intraocular lens</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>2024-04-01</date><risdate>2024</risdate><volume>38</volume><issue>5</issue><spage>988</spage><epage>993</epage><pages>988-993</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><abstract>Objective To investigate refractive outcomes and associated factors after sutureless flanged intrascleral fixation of intraocular lens (SFIF-IOL). Methods We retrospectively reviewed the medical records of consecutive patients who underwent SFIF-IOL at a single centre. The prediction error (PE; difference between the achieved and target refractive error) and absolute PE (APE) were analysed. Risk factors associated with refractive surprise, defined as APE &gt; +0.5 D, were investigated using multivariable logistic regression analysis. Results Ninety-one eyes were included. At the final follow-up, the mean PE and APE were +0.07 ± 0.88 and +0.68 ± 0.56 D, respectively. Refractive surprise was observed in 44 eyes (54.3%) and was associated with a shorter axial length (AL) [odds ratio, 0.825; 95% confidence interval, 0.688–0.991; P  = 0.039]. APE showed a significant correlation with AL at the final visit (⍴ = −0.269, P  = 0.010), and eyes with AL ≥ 26 mm had significantly lower APE than did those with AL of 24–26 mm ( P  = 0.021) and AL &lt; 24 mm ( P  = 0.0059). Conclusions The refractive outcome after SFIF-IOL using manufacturer’s A constant was favourable on average. Eyes with a longer AL were more likely to show a smaller deviation from the target refraction.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>37985727</pmid><doi>10.1038/s41433-023-02819-y</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-6339-1235</orcidid><orcidid>https://orcid.org/0000-0001-7387-1315</orcidid><orcidid>https://orcid.org/0000-0003-3221-5121</orcidid><orcidid>https://orcid.org/0000-0002-3588-4497</orcidid><orcidid>https://orcid.org/0000-0001-7825-6813</orcidid></addata></record>
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subjects 692/699/3161/3168
692/699/3161/3174
Animals
Biometry
Hominidae
Humans
Intraocular lenses
Laboratory Medicine
Lens Implantation, Intraocular - adverse effects
Lenses, Intraocular - adverse effects
Medical records
Medicine
Medicine & Public Health
Ophthalmology
Pharmaceutical Sciences/Technology
Refraction, Ocular
Refractive Errors
Retrospective Studies
Risk factors
Surgery
Surgical Oncology
title Longer axial length is associated with better prediction for refractive error after sutureless flanged intrascleral fixation of intraocular lens
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