J Korean Ophthalmol Soc.  1998 Sep;39(9):2048-2056.

One-Year Follow-up of 1000 Cases of Silicone Intraocular Lens Implantation

• Choi KH
• Kim GO
• Lim SJ

Abstract

Implantation of silicone intraocular lens(IOL), which is inserted through a small incision, has as its advantages reduced postoperative astigmatism and early visual rehabilitation. It, however, has such disadvantages as unknown long-term biocompatibility, relatively more Nd:YAG laser-induced damage, and unstable fixation. Another difficulty is the possibility of damage to IOL and intraocular tissue during the process of folding and unfolding of the silicone IOL. One thousand cases of the silicone IOL implantation from Sept. 1993 to Mar. 1996 had been followed-up over 1 tear for intraoperative and postoperative complications. Postoperative conditions such as naked visual acuity, and intraocular pressure were also measured. Postoperative naked visual acuity showed fast recovery, with measurements above 20/50 in 71.8% and 85.1% atk postoperative Day 1 and Day 3, respectively. Intraoperative complication was observed in a single case in which an incomplete continuous curvilinear capsulorhexis resulted in cases(7.8%) of posterior capsule opacification requiring Nd:YAG laser posterior capsulotomy. None of the above 57 cases requiring Nd:YAG laser capsulotomy, however, resulted in reduced visual acuity. Other brane(0.4%), pupillary capture of the optic(0.4%), decentration of the IOL(0.3%) and elevated intraocular pressure(0.3%). The silicone IOL implantation showed early visual rehabilitation without severe intraoperative and postoperative complications.

Keyword

AMO SI-3-NB; Anterior capsular contracture; Optic capture; Posterior dapsular opacification; Silicone IOL

MeSH Terms

Astigmatism
Capsule Opacification
Capsulorhexis
Follow-Up Studies*
Intraocular Pressure
Intraoperative Complications
Lens Implantation, Intraocular*
Lenses, Intraocular*
Posterior Capsulotomy
Postoperative Complications
Rehabilitation
Silicones*
Visual Acuity
Silicones