Premium intraocular lens implantation in eyes with vitrectomy done
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ORIGINAL PAPER
Premium intraocular lens implantation in eyes with vitrectomy done Lok Wan Loraine Chow
. Nicholas Siu Kay Fung . Kwan Ho Alvin Kwok
Received: 6 April 2020 / Accepted: 20 June 2020 Ó Springer Nature B.V. 2020
Abstract Purpose Phacoemulsification with premium intraocular lens (IOL) implantation has been increasingly popular in the recent years. However, it is not commonly implanted in eyes who had underwent previous vitrectomy surgery as the contrast sensitivity is thought to be reduced and surgeons are worried about poor visualization of the posterior segment after implantation. Since cataract and vitreoretinal diseases often coexist, premium IOLs should be a considerable option for implantation in carefully selected cases. This study aims at reporting the postoperative near and distance visual acuity and subjective quality of vision in eyes with premium IOLs implantation and vitrectomy done. Methods Twenty eyes with posterior vitrectomy and premium IOL implantation from 2006 to 2018 were included. Fourteen eyes were included in Group 1 with L. W. L. Chow (&) Department of Ophthalmology, Grantham Hospital, No. 125 Wong Chuk Hang Road, Hong Kong, Hong Kong e-mail: [email protected] N. S. K. Fung Department of Ophthalmology, University of Hong Kong, Room 301, Level 3, Block B, Cyberport 4, 100 Cyberport Road, Hong Kong, Hong Kong K. H. A. Kwok Department of Ophthalmology, Hong Kong Sanatorium Hospital, 2-4 Village Road, Happy Valley, Hong Kong, Hong Kong
patients who underwent a combined phacovitrectomy surgery in the same setting, and six eyes were included in Group 2 with patients who received premium IOL implantation after previous posterior vitrectomy. Results Both the postoperative corrected distance and near visual acuity at 1 month, 3 month and 1 year are improved in both groups. The subjective quality of vision as graded by the National Eye Institute Refractive Error Quality of Life Instrument-42 questionnaire also showed high patient satisfaction in both groups. Conclusion We conclude that the presence of a multifocal IOL does not impede visualization of the posterior segment during vitrectomy surgery and surgical complications were not raised. With careful patient selection and preoperative assessment, premium IOLs can be a considerable option in patients requiring posterior vitrectomy. Trial registration Retrospectively registered with the HKSH Medical Group Research Committee (Ref No. RC-2019-31, Date of registration: December 13, 2019). Keywords Premium intraocular lens Phacoemulsification Vitrectomy Phacovitrectomy surgery Abbreviations IOL Intraocular lens NEI National Eye Institute Refractive Error RQL-42 Quality of Life Instrument-42
123
Int Ophthalmol
RE LE PVD ERM VH RD VA
Right eye Left eye Posterior vitreous detachment Epiretinal membrane Vitreous hemorrhage Retinal detachment Visual acuity
Background Phacoemulsification improves visual acuity by removing the cataract and refining the refractive error to a specific
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