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Klin Monbl Augenheilkd 2010; 227(8): 611-616
DOI: 10.1055/s-0029-1245563
Übersicht

© Georg Thieme Verlag KG Stuttgart · New York

Untersuchung von Zentrierung und Positionsstabilität bei modernen Intraokularlinsen nach Kataraktchirurgie

Assessment of Centration and Position Stability of Modern Intraocular Lenses after Cataract SurgeryM. Baumeister1 , T. Kohnen1
  • 1Klinik für Augenheilkunde, Goethe-Universität, Frankfurt
Further Information

Publication History

Eingegangen: 21.5.2010

Angenommen: 21.6.2010

Publication Date:
12 August 2010 (online)

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Zusammenfassung

Zentrierung und Positionsstabilität von Intraokularlinsen (IOL) sind entscheidende Faktoren für optische Qualität und Vorhersagbarkeit des Ergebnisses nach IOL-Implantation. Stetige Weiterentwicklung von IOL-Design und -Materialien, Operationstechnik und Messmethoden tragen zur Optimierung der Korrektur des pseudophaken Auges und zum besseren Verständnis der Auswirkung der IOL-Position bei. Mit modernen IOL kann bei Implantation in den Kapselsack eine Positionierung und Stabilität vergleichbar der natürlichen Linse erzielt werden.

Abstract

Centration and positional stability of intraocular lenses (IOLs) are crucial factors for optical quality and predictability of the result after IOL implantation. Continuous improvements of IOL design and materials, surgical techniques and measurement methods have contributed to an optimised correction of the presudophakic eye and to a better unterstanding of the effects of IOL positioning. With modern IOLs implanted into the capsular bag, positioning and stability comparable to the natural crystalline lens can be achieved.

Schlüsselwörter

Katarakt - physiologische Optik - refraktive Chirurgie

Key words

cataract - physiological Optics - refractive Surgery

Literatur

  • 1 Auffarth G U, Apple D J. Entwicklungsgeschichte der Intraokularlinsen.  Ophthalmologe. 2001;  98 1017-1028
    Google Scholar
  • 2 Kohnen T. MICS – Mikroinzisionale Kataraktchirurgie.  Ophthalmologe. 2010;  107 105-107
    Google Scholar
  • 3 Atchison D A. Optical design of intraocular lenses. III. On-axis performance in the presence of lens displacement.  Optom Vis Sci. 1989;  66 671-681
    Google Scholar
  • 4 Kohnen T, Klaproth O K. Asphärische Intraokularlinsen.  Ophthalmologe. 2008;  105 234-240
    Google Scholar
  • 5 Kohnen T, Klaproth O K, Bühren J. Effect of intraocular lens asphericity on quality of vision after cataract removal: an intra-individual comparison.  Ophthalmology. 2009;  ;in press
    Google Scholar
  • 6 Korynta J, Bok J, Cendelin J et al. Computer modeling of visual impairment caused by intraocular lens misalignment.  J Cataract Refract Surg. 1999;  25 100-105
    Google Scholar
  • 7 Bühren J, Kohnen T. Anwendung der Wellenfrontanalyse in Klinik und Wissenschaft. Vom irregularen Astigmatismus zu Aberrationen höherer Ordnung – Teil I: Grundlagen.  Ophthalmologe. 2007;  104 909-923 ; quiz 924 – 905
    Google Scholar
  • 8 Bühren J, Kohnen T. Anwendung der Wellenfrontanalyse in Klinik und Wissenschaft : Vom irregularen Astigmatismus zu Aberrationen höherer Ordnung – Teil II: Beispiele.  Ophthalmologe. 2007;  104 991-1006 ; quiz 1007 – 1008
    Google Scholar
  • 9 Wang L, Dai E, Koch D D et al. Optical aberrations of the human anterior cornea.  J Cataract Refract Surg. 2003;  29 1514-1521
    Google Scholar
  • 10 Holladay J T, Piers P A, Koranyi G et al. A new intraocular lens design to reduce spherical aberration of pseudophakic eyes.  Journal of Refractive Surgery. 2002;  18 683-691
    Google Scholar
  • 11 Kasper T, Bühren J, Kohnen T. Visual performance of aspherical and spherical intraocular lenses: intraindividual comparison of visual acuity, contrast sensitivity, and higher-order aberrations.  J Cataract Refract Surg. 2006;  32 2022-2029
    Google Scholar
  • 12 Altmann G E, Nichamin L D, Lane S S et al. Optical performance of 3 intraocular lens designs in the presence of decentration.  J Cataract Refract Surg. 2005;  31 574-585
    Google Scholar
  • 13 Dietze H H, Cox M J. Limitations of correcting spherical aberration with aspheric intraocular lenses.  J Refract Surg. 2005;  21 S541-546
    Google Scholar
  • 14 Jung C K, Chung S K, Baek N H. Decentration and tilt: silicone multifocal versus acrylic soft intraocular lenses.  J Cataract Refract Surg. 2000;  26 582-585
    Google Scholar
  • 15 Wallin T R, Hinckley M, Nilson C et al. A clinical comparison of single-piece and three-piece truncated hydrophobic acrylic intraocular lenses.  Am J Ophthalmol. 2003;  136 614-619
    Google Scholar
  • 16 Wang L, Koch D D. Effect of decentration of wavefront-corrected intraocular lenses on the higher-order aberrations of the eye.  Arch Ophthalmol. 2005;  123 1226-1230
    Google Scholar
  • 17 Brown N. An advanced slit-image camera.  Br J Ophthalmol. 1972;  56 624-631
    Google Scholar
  • 18 Sasaki K, Sakamoto Y, Shibata T et al. Measurement of postoperative intraocular lens tilting and decentration using Scheimpflug images.  J Cataract Refract Surg. 1989;  15 454-457
    Google Scholar
  • 19 Hayashi K, Yoshida M, Hayashi H. Comparison of posterior capsule opacification between fellow eyes with two types of acrylic intraocular lens.  Eye. 2006;  22 35-41
    Google Scholar
  • 20 Dubbelman M, Weeber H A, Heijde R G et al. Radius and asphericity of the posterior corneal surface determined by corrected Scheimpflug photography.  Acta Ophthalmologica Scandinavica. 2002;  80 379
    Google Scholar
  • 21 Guyton D L, Uozato van der H, Wisnicki H J. Rapid determination of intraocular lens tilt and decentration through the undilated pupil.  Ophthalmology. 1990;  97 1259-1264
    Google Scholar
  • 22 Kozaki J, Tanihara H, Yasuda A et al. Tilt and decentration of the implanted posterior chamber intraocular lens.  J Cataract Refract Surg. 1991;  17 592-595
    Google Scholar
  • 23 Tabernero J, Piers P, Benito A et al. Predicting the Optical Performance of Eyes Implanted with IOLs to Correct Spherical Aberration.  Invest Ophthalmol Vis Sci. 2006;  47 4651-4658
    Google Scholar
  • 24 Schaeffel F. Binocular lens tilt and decentration measurements in healthy subjects with phakic eyes.  Invest Ophthalmol Vis Sci. 2008;  49 2216-2222
    Google Scholar
  • 25 Rosales P, Marcos S. Phakometry and lens tilt and decentration using a custom-developed Purkinje imaging apparatus: validation and measurements.  J Opt Soc Am A. 2006;  23 509-520
    Google Scholar
  • 26 Auran J D, Koester C J, Donn A. In vivo measurement of posterior chamber intraocular lens decentration and tilt.  Arch Ophthalmol. 1990;  108 75-79
    Google Scholar
  • 27 Hayashi K, Harada M, Hayashi H et al. Decentration and tilt of polymethyl methacrylate, silicone, and acrylic soft intraocular lenses.  Ophthalmology. 1997;  104 793-798
    Google Scholar
  • 28 Baumeister M, Neidhardt B, Strobel J et al. Tilt and decentration of three-piece foldable high-refractive silicone and hydrophobic acrylic intraocular lenses with 6-mm optics in an intraindividual comparison.  Am J Ophthalmol. 2005;  140 1051-1058
    Google Scholar
  • 29 Baumeister M, Kohnen T. Scheimpflug measurement of intraocular lens position after piggyback implantation of foldable intraocular lenses in eyes with high hyperopia.  J Cataract Refract Surg. 2006;  32 2098-2104
    Google Scholar
  • 30 Nejima R, Miyata K, Honbou M et al. A prospective, randomised comparison of single and three piece acrylic foldable intraocular lenses.  Br J Ophthalmol. 2004;  88 746-749
    Google Scholar
  • 31 Kim J S, Shyn K H. Biometry of 3 types of intraocular lenses using Scheimpflug photography.  J Cataract Refract Surg. 2001;  27 533-536
    Google Scholar
  • 32 Gayton J L, Sanders V N. Implanting two posterior chamber intraocular lenses in a case of microphthalmos.  J Cataract Refract Surg. 1993;  19 776-777
    Google Scholar
  • 33 Shugar J K, Lewis C, Lee A. Implantation of multiple foldable acrylic posterior chamber lenses in the capsular bag for high hyperopia.  J Cataract Refract Surg. 1996;  22 (Suppl 2) 1368-1372
    Google Scholar
  • 34 Kohnen T, Koch M J. Refractive aspects of cataract surgery.  Curr Opin Ophthalmol. 1998;  9 55-59
    Google Scholar
  • 35 Chang S H, Lim G. Secondary pigmentary glaucoma associated with piggyback intraocular lens implantation.  J Cataract Refract Surg. 2004;  30 2219-2222
    Google Scholar
  • 36 Häberle H, Wirbelauer C, Aurich H et al. Huckepacklinsenimplantation zur Korrektur einer Anisometropie bei Pseudophakie.  Ophthalmologe. 2003;  100 129-132
    Google Scholar
  • 37 Mester U, Dillinger P, Anterist N. Impact of a modified optic design on visual function: clinical comparative study.  J Cataract Refract Surg. 2003;  29 652-660
    Google Scholar
  • 38 Bühren J, Pesudovs K, Martin T et al. Comparison of optical quality metrics to predict subjective quality of vision after laser in situ keratomileusis.  J Cataract Refract Surg. 2009;  35 846-855
    Google Scholar
  • 39 Kasper T, Bühren J, Kohnen T. Intraindividual comparison of higher-order aberrations after implantation of aspherical and spherical intraocular lenses as a function of pupil diameter.  J Cataract Refract Surg. 2006;  32 78-84
    Google Scholar
  • 40 Baumeister M, Bühren J, Kohnen T. Tilt and decentration of spherical and aspheric intraocular lenses: effect on higher-order aberrations.  J Cataract Refract Surg. 2009;  35 1006-1012
    Google Scholar
  • 41 Mester U, Sauer T, Kaymak H. Decentration and tilt of a single-piece aspheric intraocular lens compared with the lens position in young phakic eyes.  J Cataract Refract Surg. 2009;  35 485-490
    Google Scholar
  • 42 Artal P, Benito A, Tabernero J. The human eye is an example of robust optical design.  J Vis. 2006;  6 1-7
    Google Scholar
  • 43 Yang H C, Chung S K, Baek N H. Decentration, tilt, and near vision of the array multifocal intraocular lens.  Journal of Cataract and Refractive Surgery. 2000;  26 586
    Google Scholar
  • 44 Dick H B, Schwenn O, Krummenauer F et al. Refraktion, Vorderkammertiefe, Dezentrierung und Tilt nach Implantation monofokaler und multifokaler Silikonlinsen.  Ophthalmologe. 2001;  98 380-386
    Google Scholar
  • 45 Durak A, Oner H F, Kocak N et al. Tilt and decentration after primary and secondary transsclerally sutured posterior chamber intraocular lens implantation.  J Cataract Refract Surg. 2001;  27 227-232
    Google Scholar
  • 46 Hayashi K, Hayashi H, Nakao F et al. Anterior capsule contraction and intraocular lens decentration and tilt after hydrogel lens implantation.  Br J Ophthalmol. 2001;  85 1294-1297
    Google Scholar
  • 47 Taketani F, Matuura T, Yukawa E et al. Influence of intraocular lens tilt and decentration on wavefront aberrations.  J Cataract Refract Surg. 2004;  30 2158-2162
    Google Scholar
  • 48 Hayashi K, Hayashi H. Comparison of the stability of 1-piece and 3-piece acrylic intraocular lenses in the lens capsule.  J Cataract Refract Surg. 2005;  31 337-342
    Google Scholar
  • 49 Mutlu F M, Bayer A, Erduman C et al. Comparison of tilt and decentration between phacoemulsification and phacotrabeculectomy.  Ophthalmologica. 2005;  219 26-29
    Google Scholar
  • 50 Mutlu F M, Erdurman C, Sobaci G et al. Comparison of tilt and decentration of 1-piece and 3-piece hydrophobic acrylic intraocular lenses.  J Cataract Refract Surg. 2005;  31 343-347
    Google Scholar
  • 51 Taketani F, Yukawa E, Ueda T et al. Effect of tilt of 2 acrylic intraocular lenses on high-order aberrations.  J Cataract Refract Surg. 2005;  31 1182-1186
    Google Scholar
  • 52 Oshika T, Sugita G, Miyata K et al. Influence of tilt and decentration of scleral-sutured intraocular lens on ocular higher-order wavefront aberration.  Br J Ophthalmol. 2007;  91 185-188
    Google Scholar
  • 53 Castro de A, Rosales P, Marcos S. Tilt and decentration of intraocular lenses in vivo from Purkinje and Scheimpflug imaging. Validation study.  J Cataract Refract Surg. 2007;  33 418-429
    Google Scholar

Prof. Dr. Thomas Kohnen

Klinik für Augenheilkunde, Goethe-Universität

Theodor-Stern-Kai 7

60590 Frankfurt

Phone: ++ 49/69/63 01 39 45

Fax: ++ 49/69/63 01 38 93

Email: kohnen@em.uni-frankfurt.de

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