The Effect of Secondary Intraocular Lens Implantation Time on Visual Prognosis in Aphakia Cases after Open Globe Injury

Nilay Kandemir Besek; Senay Asik Nacaroglu; Mehmet Onur Er; Ahmet Kirgiz; Fevziye Ondes Yilmaz; Burçin Kepez Yildiz; Mevlut Celal Ocal

doi:10.3341/kjo.2020.0004

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자료유형: 학술저널

저자정보: Nilay Kandemir Besek (University of Health Sciences) Senay Asik Nacaroglu (University of Health Sciences) Mehmet Onur Er (University of Health Sciences) Ahmet Kirgiz (University of Health Sciences) Fevziye Ondes Yilmaz (University of Health Sciences) Burçin Kepez Yildiz (University of Health Sciences) Mevlut Celal Ocal (Akcakale Public Hospital)

저널정보: 대한안과학회 Korean Journal of Ophthalmology Korean Journal of Ophthalmology 제35권 제5호

발행연도: 2021.10

수록면: 368 - 375 (8page)

DOI: 10.3341/kjo.2020.0004

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Purpose: We investigated the effect of the time of secondary intraocular lens (IOL) implantation on final visual acuity andother causes affecting visual prognosis in cases left aphakic after open globe injury. Methods: The study included 62 eyes of 62 patients left aphakic after the repair of open globe injury between 2012 and2019. Demographic characteristics, trauma zone, ocular trauma score, type of injury, time of secondary IOL implantation, finalbest-corrected visual acuity (BCVA), and complications were recorded for each patient. Results: The mean follow-up time of 62 patients was 25.05 ± 12.59 months. The preoperative BCVA was found to be 2.40± 0.86 logarithm of the minimum angle of resolution (logMAR), while the postoperative final BCVA was found to be 0.53 ±0.70 logMAR (p < 0.01). The mean interval timing of secondary sulcus foldable IOL implantation was determined to be 3.79± 4.04 months. No correlation was observed between secondary IOL implantation time and final BCVA (r = 0.140, p = 0.319). Furthermore, when only pediatric patients were taken, an excellent positive correlation was found between the secondaryIOL implantation time and final BCVA logMAR (r = 0.895, p < 0.01). Multiple linear regression on final BCVA with age, revealeda significant model explaining 48.0% of the variability with younger age and better final BCVA with as significant coefficients (p= 0.007). Conclusions: Although time interval between primary repair and secondary IOL implantation to correct aphakia does not effectfinal BCVA in adult patients, earlier surgery should be considered for amblyopia management in pediatric patients.

#Aphakia #Eye injuries #Intraocular lenses #Trauma

참고문헌 (26)

참고문헌 신청

Andreoli MT / 2012 / Surgical rehabilitation of the open globe injury patient / Am J Ophthalmol 153:856~860

Aldakaf A / Intraocular foreign bodies associated with traumatic cataract / Oftalmologia

Thakker MM / 2006 / Vision-limiting complications in open-globe injuries / Can J Ophthalmol 41:86~92

He T / 2017 / Secondary sulcus-fixed foldable IOL implantation with 25-G infusion in patients with previous PPV after open-globe injury / Eur J Ophthalmol 27:786~790

Lamkin JC / 1992 / Simultaneous corneal laceration repair, cataract removal, and posterior chamber intraocular lens implantation / Am J Ophthalmol 113:626~631

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