Experiences with disc lenses composed of silicone

Klinische Monatsblätter für Augenheilkunde
C SkorpikM Grasl

Abstract

Our study presents the results with a silicone disc-lens (Adatomed 90D) over a postoperative period of 18 months. It includes 47 patients, 42 could be reexamined. The implantation was done after continuous circular capsulorhexis and phacoemulsification with a Faulkner-folder directly into the capsular bag. The implantation was sometimes difficult. Skill and experience of the surgeon are required. The IOL springs forth of the implantation forceps, which can lead to traumatization of the capsule and the iris. Three times the posterior capsule ruptured, in two cases the implantation was stopped because of vitreous pressure and the risk of rupturing the capsule. In 6 cases the rim of the anterior capsule ruptured during the implantation. Postoperatively one IOL had a sulcus position, all other IOLs were in the capsular bag. A deposit of viscoelastic substance (Healon) between the IOL and the posterior capsule in 34 cases (72%) was remarkable. In 14 cases (33%) it remained for 18 months. 16 times (38%) regeneratory after-cataract reached the central part of the capsule. The visual disturbance was different, in 6 cases (14%) a YAG-laser-capsulotomy was performed. An influence of the deposit of viscoelastic substance on the developmen...Continue Reading

Citations

Jan 1, 1996·Journal of Cataract and Refractive Surgery·K MiyakeK Maekubo
Apr 29, 1998·Journal of Cataract and Refractive Surgery·P G UrsellK Tilling
Jan 1, 1996·Journal of Cataract and Refractive Surgery·R Menapace
Sep 1, 1995·Journal of Cataract and Refractive Surgery·G I DunckerS Behrendt
Jan 1, 1997·Acta Ophthalmologica Scandinavica. Supplement·L MastropasquaP E Gallenga

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