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Long-term biocompatibility and visual outcomes of a hydrophilic acrylic intraocular lens in patients with uveitis.

Tomlins, Paul J and Sivaraj, Ramesh R and Rauz, Saaeha and Denniston, Alastair K and Murray, Philip I (2014) Long-term biocompatibility and visual outcomes of a hydrophilic acrylic intraocular lens in patients with uveitis. Journal of cataract and refractive surgery, 40 (4). pp. 618-25. ISSN 1873-4502. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs

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Official URL: http://www.jcrsjournal.org/article/S0886-3350(14)0...

Abstract

PURPOSE

To report the long-term visual outcomes and biocompatibility of a single-piece hydrophilic acrylic intraocular lens (IOL) in patients with uveitis having cataract surgery.

SETTING

Tertiary referral center, Birmingham, United Kingdom.

DESIGN

Retrospective case review.

METHODS

The review included consecutive uveitis patients in whom phacoemulsification and acrylic IOL implantation was performed by the same surgeon. Outcomes measures are reported as rate/eye-year and included visual acuity and signs of bioincompatibility.

RESULTS

The review identified 171 eyes (140 patients; mean age 51 years [range 16 to 85 years]) with uveitis. The mean follow-up was 3.8 years (range 0.9 to 10.3 years). Signs of uveal bioincompatibility were found in 31 eyes, with visually insignificant deposits on the IOL in 17 eyes. The rate of uveal bioincompatibility was 0.06/eye-year. Signs of capsule bioincompatibility were found in 107 (63%) of 171 eyes (0.31/eye-year). Posterior capsule opacification was documented in 102 eyes (0.29/eye-year); neodymium:YAG laser capsulotomy was required in 31 eyes (0.05/eye-year). The rate of failure to maintain a 3 logMAR line improvement in corrected distance visual acuity (CDVA) was 0.08/eye-year; to maintain better than 0.3 logMAR, 0.15/eye-year; and to maintain either, 0.04/eye-year. At 1 year, 85% of eyes had a CDVA of better than 0.3 logMAR or maintained a 3 logMAR-line improvement. Eyes with preexisting macular or optic nerve disease had significantly worse visual outcomes.

CONCLUSIONS

The long-term safety profile of the hydrophilic acrylic IOL was good in uveitis cases, leading to good visual outcomes and a low rate of vision-impairing uveal and capsule complications.

FINANCIAL DISCLOSURE

No author has a financial or proprietary interest in any material or method mentioned.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs
Subjects: WW Eyes. Ophthalmology
Divisions: Ambulatory Care > Ophthalmology
Related URLs:
Depositing User: Mrs Yolande Brookes
Date Deposited: 18 Aug 2014 14:35
Last Modified: 18 Aug 2014 14:35
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/522

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