Nanophthalmic eyes show some significant improvements with high-powered IOL

Issue: March 10, 2016

Implantation of a foldable high-powered IOL significantly improved uncorrected distance visual acuity and spherical equivalent in nanophthalmic eyes, according to a study.

The retrospective case series consisted of 21 eyes of 13 patients with nanophthalmos who underwent cataract extraction and posterior chamber IOL implantation.

Patients received a CT Xtreme D IOL (Carl Zeiss Meditec), a customizable single-piece foldable monofocal aspheric IOL with refractive power ranging from +45 D to +60 D. The lens is injected through a 2.2-mm incision.

The primary outcome measure was change in spherical equivalence, and secondary outcomes were changes in logMAR uncorrected and corrected distance visual acuity. Mean follow-up was 9.6 months.

Spherical equivalence improved significantly, from a mean of +16.11 D preoperatively to +2 D postoperatively (P < .0001).

Uncorrected distance visual acuity improved significantly, from a mean of 1.47 logMAR before surgery to 0.74 logMAR after surgery (P = .016). The improvement in corrected distance visual acuity was not significant. IOP did not change significantly.

Serious postoperative complications were reported in five eyes (23.8%). Two eyes had malignant glaucoma, two eyes had vitreous hemorrhage, and one eye had vitreous hemorrhage with retinal detachment, leading to no light perception. – by Matt Hasson

Disclosure: Ahmed reports he is a consultant for Carl Zeiss Meditec. The remaining authors report no relevant financial disclosures.

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Source:

Singh H, et al. J Cataract Refract Surg. 2015;doi:10.1016/j.jcrs.2015.05.033.