Comparison of refractive deviations after phacovitrectomy according to the intraocular lens insertion method
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CLINICAL INVESTIGATION
Comparison of refractive deviations after phacovitrectomy according to the intraocular lens insertion method Seung Kwon Choi1,2 · Myung Ho Jo1,2 · Sun Ho Park1,2 · Jae Jung Lee1,2 · Ik Soo Byon1,2 · Ji Eun Lee1,2 · Sung Who Park1,2 Received: 20 January 2020 / Accepted: 25 June 2020 / Published online: 28 August 2020 © Japanese Ophthalmological Society 2020
Abstract Purpose This study aimed to compare refractive deviations between in-the-bag insertion, trans-scleral ciliary sulcus fixation, ciliary sulcus insertion, and ciliary sulcus insertion with optic capture after phacovitrectomy. Study design Single-unit, single-surgeon, retrospective study. Methods Consecutive patients who underwent phacovitrectomy and intraocular lens (IOL) out-of-the-bag insertion simultaneously were retrospectively reviewed. Patients who underwent phacovitrectomy with IOL in-the-bag insertion were also included for comparison with those who underwent phacovitrectomy with out-of-the-bag insertion. Patients were classified into four groups based on the IOL insertion method. The average difference from the target spherical equivalent (SE) to postoperative SE was defined as the refractive deviation. Refractive deviations of the groups were compared. Results The refractive deviation for the in-the-bag insertion (43 eyes) was −0.18 ± 0.50 Df, −0.84 ± 0.81 D for the transscleral ciliary sulcus fixation (43 eyes), −0.93 ± 0.68 D for the ciliary sulcus insertion (25 eyes), and −0.27 ± 0.50 D for the ciliary sulcus insertion with optic capture group (24 eyes). The trans-scleral ciliary sulcus fixation and ciliary sulcus insertion groups had significantly different deviations than the in-the-bag group (p
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