PMID: 8950395Oct 1, 1996Paper

Centration and fixation of posterior chamber intraocular lenses in eyes with pseudoexfoliation syndrome. An analysis of explanted autopsy eyes

Acta Ophthalmologica Scandinavica
G U AuffarthD J Apple

Abstract

Pseudoexfoliation syndrome is an important risk factor in cataract surgery. We examined decentration of posterior chamber intraocular lenses in a series of 24 autopsy eyes with pseudoexfoliation syndrome that had undergone cataract surgery and intraocular lens implantation. The results were compared to a control group of 25 normal autopsy eyes that matched the pseudoexfoliation collection for age distribution, implant duration and further anatomical parameters. The mean lens decentration in all pseudoexfoliation eyes (0.75 +/- 0.38 mm) was significantly higher than in the control group (0.40 +/- 0.29 mm) (p = 0.0008). Analysis of subgroups with symmetrical bag/bag fixated intraocular lenses showed a significantly higher decentration in the pseudoexfoliation group (p = 0.04). The main reason for decentration was a decentration of the entire capsular bag in pseudoexfoliative eyes (p = 0.001), which was related to zonular weakness and damage. The results indicate that in patients with pseudoexfoliation syndrome alternative fixation sites, like sulcus or transscleral fixation, should also be considered.

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Citations

Jan 18, 2006·Journal of Cataract and Refractive Surgery·Howard V GimbelIoannis Halkiadakis
Mar 23, 2007·Acta Ophthalmologica Scandinavica·Liv DrolsumBjørn Nicolaissen
Jan 9, 2010·International Ophthalmology Clinics·Tasha Tanhehco, Sherleen H Chen
Apr 8, 2004·Clinical & Experimental Ophthalmology·R Max ConwayGottfried O H Naumann
Jul 12, 2017·BMC Ophthalmology·Valentín HuervaAndrzej Grzybowski
Mar 11, 2019·Journal of Cataract and Refractive Surgery·Sathish Srinivasan
Feb 13, 2001·Survey of Ophthalmology·R Ritch, U Schlötzer-Schrehardt
Mar 23, 2021·Journal of Cataract and Refractive Surgery·Olav KristianslundLiv Drolsum
Aug 20, 2021·European Journal of Ophthalmology·Steven G SafranMinas T Coroneo
May 22, 2021·Journal of Cataract and Refractive Surgery·Andrea GabaiCarlo Salati

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