Comparison of patient outcomes after implantation of Visian toric implantable collamer lens and iris-fixated toric phakic intraocular lens
Purpose We compared visual and refractive outcomes after implantation of Visian toric implantable collamer lenses (toric ICLs) and iris-fixated toric pIOLs (toric Artisans). Patients and methods A comparative retrospective analysis was performed. Toric ICLs were implanted into 30 eyes of 18 patients...
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| Veröffentlicht in: | Eye (London) 2011-11, Vol.25 (11), p.1409-1417 |
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| creator | Lee, S Y Kwon, H J Ahn, H S Seo, K Y Kim, E K Kim, T-I |
| description | Purpose
We compared visual and refractive outcomes after implantation of Visian toric implantable collamer lenses (toric ICLs) and iris-fixated toric pIOLs (toric Artisans).
Patients and methods
A comparative retrospective analysis was performed. Toric ICLs were implanted into 30 eyes of 18 patients, and toric Artisans into 31 eyes of 22 recipients. We measured the logarithms of the minimum angle of resolution of uncorrected visual acuity (logMAR UCVA), logMAR of best spectacle-corrected corrected VA (logMAR BSCVA), MR, SE, and astigmatism (by the power vector method) before surgery and 1, 3, and 6 months thereafter. Differences between patients receiving each type of lens were compared by using a mixed model of repeated measures.
Results
Visual improvements were evident after operation in both groups. By comparing the attempted to the achieved SE values, we were able to confirm that correction of refractive error was similar in both groups. However, the logMAR UCVA was significantly higher in the toric ICL group at all postoperative time points. Although manifest cylinder power and astigmatism (calculated by using the power vector method) gradually decreased in the toric ICL group, cylinder power 1 month postoperatively increased from −2.62 to −2.75 D; astigmatism was also increased at this time in the toric Artisan group.
Conclusion
The two tested toric pIOLs were similar in terms of the ability to correct refractive error, as assessed 3 months postoperatively. However toric ICLs corrected astigmatism more rapidly and safely. Notably, the large difference in astigmatism level between the two groups 1 month postoperatively indicates that toric ICLs are more effective when used to correct astigmatism. |
| doi_str_mv | 10.1038/eye.2011.176 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3213644</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>904007773</sourcerecordid><originalsourceid>FETCH-LOGICAL-c503t-9d2e0c4b5e9bab7d855af93eb1a23c87bece10b3ce0dac19e2efba7d0186483</originalsourceid><addsrcrecordid>eNp10U2L1TAUBuAginMd3bmWIshs7DVJk5t2MyCX8QMGXCjiLpympzMZ26QmqTh_wV9tSq93VHDVxfuctyccQp4yumW0ql_hLW45ZWzL1O4e2TChdqUUUtwnG9pIWnLOv5yQRzHeUJpDRR-SE85qyWvKN-Tn3o8TBBu9K3xfTJAsulT4ORk_YiygTxgKO04DuJTDlX220YIrkg_WHMN2wML4YYAxTwzo8rDrCpu7y97-gITdYWC6hq_LnEsBvJkHWPlj8qCHIeKTw_eUfHxz8Wn_rrz88Pb9_vVlaSStUtl0HKkRrcSmhVZ1tZTQNxW2DHhlatWiQUbbyiDtwLAGOfYtqI6yeifq6pScr63T3I7YGVy2GPQU7AjhVnuw-u_E2Wt95b_rirNqJ0QuODsUBP9txpj0aKPB_G6Hfo66oYJSpVSV5fN_5I2fg8tvy6gRivFGZvRyRSb4GAP2x1UY1cuBdT6wXg6s84Ezf_bn-kf8-6IZvDgAiAaGPoAzNt45oWrZiMWVq4s5clcY7pb7z4-L1TtIc8BjYUaLWcgvkd7NhA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>909471295</pqid></control><display><type>article</type><title>Comparison of patient outcomes after implantation of Visian toric implantable collamer lens and iris-fixated toric phakic intraocular lens</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Lee, S Y ; Kwon, H J ; Ahn, H S ; Seo, K Y ; Kim, E K ; Kim, T-I</creator><creatorcontrib>Lee, S Y ; Kwon, H J ; Ahn, H S ; Seo, K Y ; Kim, E K ; Kim, T-I</creatorcontrib><description>Purpose
We compared visual and refractive outcomes after implantation of Visian toric implantable collamer lenses (toric ICLs) and iris-fixated toric pIOLs (toric Artisans).
Patients and methods
A comparative retrospective analysis was performed. Toric ICLs were implanted into 30 eyes of 18 patients, and toric Artisans into 31 eyes of 22 recipients. We measured the logarithms of the minimum angle of resolution of uncorrected visual acuity (logMAR UCVA), logMAR of best spectacle-corrected corrected VA (logMAR BSCVA), MR, SE, and astigmatism (by the power vector method) before surgery and 1, 3, and 6 months thereafter. Differences between patients receiving each type of lens were compared by using a mixed model of repeated measures.
Results
Visual improvements were evident after operation in both groups. By comparing the attempted to the achieved SE values, we were able to confirm that correction of refractive error was similar in both groups. However, the logMAR UCVA was significantly higher in the toric ICL group at all postoperative time points. Although manifest cylinder power and astigmatism (calculated by using the power vector method) gradually decreased in the toric ICL group, cylinder power 1 month postoperatively increased from −2.62 to −2.75 D; astigmatism was also increased at this time in the toric Artisan group.
Conclusion
The two tested toric pIOLs were similar in terms of the ability to correct refractive error, as assessed 3 months postoperatively. However toric ICLs corrected astigmatism more rapidly and safely. Notably, the large difference in astigmatism level between the two groups 1 month postoperatively indicates that toric ICLs are more effective when used to correct astigmatism.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/eye.2011.176</identifier><identifier>PMID: 21852802</identifier><identifier>CODEN: EYEEEC</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699 ; 692/700/565/545 ; Adult ; Algorithms ; Astigmatism - physiopathology ; Astigmatism - surgery ; Biological and medical sciences ; Clinical Study ; Female ; Humans ; Laboratory Medicine ; Lens Implantation, Intraocular - methods ; Lenses, Intraocular ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Miscellaneous ; Myopia - physiopathology ; Myopia - surgery ; Ophthalmology ; Pharmaceutical Sciences/Technology ; Refraction, Ocular - physiology ; Retrospective Studies ; Surgery ; Surgical Oncology ; Vision disorders ; Visual Acuity - physiology ; Young Adult</subject><ispartof>Eye (London), 2011-11, Vol.25 (11), p.1409-1417</ispartof><rights>Royal College of Ophthalmologists 2011</rights><rights>2015 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Nov 2011</rights><rights>Copyright © 2011 Royal College of Ophthalmologists 2011 Royal College of Ophthalmologists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c503t-9d2e0c4b5e9bab7d855af93eb1a23c87bece10b3ce0dac19e2efba7d0186483</citedby><cites>FETCH-LOGICAL-c503t-9d2e0c4b5e9bab7d855af93eb1a23c87bece10b3ce0dac19e2efba7d0186483</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3213644/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3213644/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24785942$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21852802$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, S Y</creatorcontrib><creatorcontrib>Kwon, H J</creatorcontrib><creatorcontrib>Ahn, H S</creatorcontrib><creatorcontrib>Seo, K Y</creatorcontrib><creatorcontrib>Kim, E K</creatorcontrib><creatorcontrib>Kim, T-I</creatorcontrib><title>Comparison of patient outcomes after implantation of Visian toric implantable collamer lens and iris-fixated toric phakic intraocular lens</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>Purpose
We compared visual and refractive outcomes after implantation of Visian toric implantable collamer lenses (toric ICLs) and iris-fixated toric pIOLs (toric Artisans).
Patients and methods
A comparative retrospective analysis was performed. Toric ICLs were implanted into 30 eyes of 18 patients, and toric Artisans into 31 eyes of 22 recipients. We measured the logarithms of the minimum angle of resolution of uncorrected visual acuity (logMAR UCVA), logMAR of best spectacle-corrected corrected VA (logMAR BSCVA), MR, SE, and astigmatism (by the power vector method) before surgery and 1, 3, and 6 months thereafter. Differences between patients receiving each type of lens were compared by using a mixed model of repeated measures.
Results
Visual improvements were evident after operation in both groups. By comparing the attempted to the achieved SE values, we were able to confirm that correction of refractive error was similar in both groups. However, the logMAR UCVA was significantly higher in the toric ICL group at all postoperative time points. Although manifest cylinder power and astigmatism (calculated by using the power vector method) gradually decreased in the toric ICL group, cylinder power 1 month postoperatively increased from −2.62 to −2.75 D; astigmatism was also increased at this time in the toric Artisan group.
Conclusion
The two tested toric pIOLs were similar in terms of the ability to correct refractive error, as assessed 3 months postoperatively. However toric ICLs corrected astigmatism more rapidly and safely. Notably, the large difference in astigmatism level between the two groups 1 month postoperatively indicates that toric ICLs are more effective when used to correct astigmatism.</description><subject>692/699</subject><subject>692/700/565/545</subject><subject>Adult</subject><subject>Algorithms</subject><subject>Astigmatism - physiopathology</subject><subject>Astigmatism - surgery</subject><subject>Biological and medical sciences</subject><subject>Clinical Study</subject><subject>Female</subject><subject>Humans</subject><subject>Laboratory Medicine</subject><subject>Lens Implantation, Intraocular - methods</subject><subject>Lenses, Intraocular</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Myopia - physiopathology</subject><subject>Myopia - surgery</subject><subject>Ophthalmology</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Refraction, Ocular - physiology</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Vision disorders</subject><subject>Visual Acuity - physiology</subject><subject>Young Adult</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp10U2L1TAUBuAginMd3bmWIshs7DVJk5t2MyCX8QMGXCjiLpympzMZ26QmqTh_wV9tSq93VHDVxfuctyccQp4yumW0ql_hLW45ZWzL1O4e2TChdqUUUtwnG9pIWnLOv5yQRzHeUJpDRR-SE85qyWvKN-Tn3o8TBBu9K3xfTJAsulT4ORk_YiygTxgKO04DuJTDlX220YIrkg_WHMN2wML4YYAxTwzo8rDrCpu7y97-gITdYWC6hq_LnEsBvJkHWPlj8qCHIeKTw_eUfHxz8Wn_rrz88Pb9_vVlaSStUtl0HKkRrcSmhVZ1tZTQNxW2DHhlatWiQUbbyiDtwLAGOfYtqI6yeifq6pScr63T3I7YGVy2GPQU7AjhVnuw-u_E2Wt95b_rirNqJ0QuODsUBP9txpj0aKPB_G6Hfo66oYJSpVSV5fN_5I2fg8tvy6gRivFGZvRyRSb4GAP2x1UY1cuBdT6wXg6s84Ezf_bn-kf8-6IZvDgAiAaGPoAzNt45oWrZiMWVq4s5clcY7pb7z4-L1TtIc8BjYUaLWcgvkd7NhA</recordid><startdate>20111101</startdate><enddate>20111101</enddate><creator>Lee, S Y</creator><creator>Kwon, H J</creator><creator>Ahn, H S</creator><creator>Seo, K Y</creator><creator>Kim, E K</creator><creator>Kim, T-I</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20111101</creationdate><title>Comparison of patient outcomes after implantation of Visian toric implantable collamer lens and iris-fixated toric phakic intraocular lens</title><author>Lee, S Y ; Kwon, H J ; Ahn, H S ; Seo, K Y ; Kim, E K ; Kim, T-I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c503t-9d2e0c4b5e9bab7d855af93eb1a23c87bece10b3ce0dac19e2efba7d0186483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>692/699</topic><topic>692/700/565/545</topic><topic>Adult</topic><topic>Algorithms</topic><topic>Astigmatism - physiopathology</topic><topic>Astigmatism - surgery</topic><topic>Biological and medical sciences</topic><topic>Clinical Study</topic><topic>Female</topic><topic>Humans</topic><topic>Laboratory Medicine</topic><topic>Lens Implantation, Intraocular - methods</topic><topic>Lenses, Intraocular</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Myopia - physiopathology</topic><topic>Myopia - surgery</topic><topic>Ophthalmology</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Refraction, Ocular - physiology</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Vision disorders</topic><topic>Visual Acuity - physiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, S Y</creatorcontrib><creatorcontrib>Kwon, H J</creatorcontrib><creatorcontrib>Ahn, H S</creatorcontrib><creatorcontrib>Seo, K Y</creatorcontrib><creatorcontrib>Kim, E K</creatorcontrib><creatorcontrib>Kim, T-I</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, S Y</au><au>Kwon, H J</au><au>Ahn, H S</au><au>Seo, K Y</au><au>Kim, E K</au><au>Kim, T-I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of patient outcomes after implantation of Visian toric implantable collamer lens and iris-fixated toric phakic intraocular lens</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>25</volume><issue>11</issue><spage>1409</spage><epage>1417</epage><pages>1409-1417</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><coden>EYEEEC</coden><abstract>Purpose
We compared visual and refractive outcomes after implantation of Visian toric implantable collamer lenses (toric ICLs) and iris-fixated toric pIOLs (toric Artisans).
Patients and methods
A comparative retrospective analysis was performed. Toric ICLs were implanted into 30 eyes of 18 patients, and toric Artisans into 31 eyes of 22 recipients. We measured the logarithms of the minimum angle of resolution of uncorrected visual acuity (logMAR UCVA), logMAR of best spectacle-corrected corrected VA (logMAR BSCVA), MR, SE, and astigmatism (by the power vector method) before surgery and 1, 3, and 6 months thereafter. Differences between patients receiving each type of lens were compared by using a mixed model of repeated measures.
Results
Visual improvements were evident after operation in both groups. By comparing the attempted to the achieved SE values, we were able to confirm that correction of refractive error was similar in both groups. However, the logMAR UCVA was significantly higher in the toric ICL group at all postoperative time points. Although manifest cylinder power and astigmatism (calculated by using the power vector method) gradually decreased in the toric ICL group, cylinder power 1 month postoperatively increased from −2.62 to −2.75 D; astigmatism was also increased at this time in the toric Artisan group.
Conclusion
The two tested toric pIOLs were similar in terms of the ability to correct refractive error, as assessed 3 months postoperatively. However toric ICLs corrected astigmatism more rapidly and safely. Notably, the large difference in astigmatism level between the two groups 1 month postoperatively indicates that toric ICLs are more effective when used to correct astigmatism.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>21852802</pmid><doi>10.1038/eye.2011.176</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | 692/699 692/700/565/545 Adult Algorithms Astigmatism - physiopathology Astigmatism - surgery Biological and medical sciences Clinical Study Female Humans Laboratory Medicine Lens Implantation, Intraocular - methods Lenses, Intraocular Male Medical sciences Medicine Medicine & Public Health Middle Aged Miscellaneous Myopia - physiopathology Myopia - surgery Ophthalmology Pharmaceutical Sciences/Technology Refraction, Ocular - physiology Retrospective Studies Surgery Surgical Oncology Vision disorders Visual Acuity - physiology Young Adult |
| title | Comparison of patient outcomes after implantation of Visian toric implantable collamer lens and iris-fixated toric phakic intraocular lens |
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