Intraocular Pressure-Lowering Effect of Intraocular Lens Refixation in Patients with Elevated Intraocular Pressure Due to Intraocular Lens Subluxation
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patient Selection
2.2. Surgical Procedures
2.3. Data Collection
2.4. Outcome Measures
2.5. Statistical Analysis
3. Results
3.1. Patient Characteristics
3.2. Primary Outcome Measure
3.3. Secondary Outcome Measures
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Total (n = 24) | Glaucoma Group (n = 13) | OH Group (n = 11) | p-Value | |
---|---|---|---|---|
Age, years | 81.5 ± 9.2 | 84.5 ± 6.8 | 77.8 ± 10.6 | 0.04 |
Sex | ||||
Male/Female | 13 (56)/11 (44) | 7 (54)/6 (46) | 6 (55)/5 (45) | 1.00 |
Type of glaucoma | NA | |||
Primary open-angle glaucoma | 1 (4) | 1 (8) | NA | |
Exfoliation glaucoma | 11 (46) | 11 (84) | NA | |
Secondary glaucoma | 1 (4) | 1 (8) | NA | |
Surgical method | 0.44 | |||
Flanged fixation | 14 (58) | 9 (70) | 5 (45) | |
T-fixation | 4 (17) | 2 (15) | 2 (18) | |
Sulcus fixation | 6 (25) | 2 (15) | 4 (37) | |
BCVA (logMAR) | 0.61 ± 0.64 | 0.63 ± 0.65 | 0.59 ± 0.66 | 0.79 |
Visual field MD, dB | NA | −21.7 ± 7.5 | NA | NA |
Total | Glaucoma Group | OH Group | p-Value | |
---|---|---|---|---|
Preoperative | ||||
IOP, mmHg | 29.5 ± 6.3 | 29.1 ± 7.1 | 30.0 ± 5.7 | >0.99 |
Medications, n | 2.7 ± 1.7 | 3.8 ± 0.9 | 1.4 ± 1.5 | <0.01 |
Eyes, n | 24 | 13 | 11 | |
At 1 month | ||||
IOP, mmHg | 20.3 ± 9.1 | 22.8 ± 11.8 | 17.6 ± 3.6 | >0.99 |
Medications, n | 1.6 ± 1.6 | 2.1 ± 1.7 | 1.1 ± 1.4 | 0.97 |
Eyes, n | 23 | 12 | 11 | |
At 3 months | ||||
IOP, mmHg | 17.3 ± 4.8 | 15.4 ± 4.6 | 19.0 ± 4.6 | >0.99 |
Medications, n | 1.8 ± 1.6 | 3.1 ± 1.1 | 0.6 ± 0.9 | <0.01 |
Eyes, n | 17 | 8 | 9 | |
At 6 months | ||||
IOP, mmHg | 15.8 ± 3.4 | 14.7 ± 3.3 | 16.7 ± 3.4 | >0.99 |
Medications, n | 1.8 ± 1.9 | 3.3 ± 1.5 | 0.4 ± 0.8 | 0.03 |
Eyes, n | 13 | 6 | 7 | |
At 12 months | ||||
IOP, mmHg | 16.0 ± 2.6 | 16.3 ± 2.9 | 15.8 ± 2.7 | >0.99 |
Medications, n | 1.2 ± 1.3 | 2.7 ± 0.6 | 0.5 ± 0.8 | 0.18 |
Eyes, n | 9 | 3 | 6 | |
Final follow-up visit | ||||
IOP, mmHg | 15.1 ± 5.2 | 12.8 ± 4.0 | 16.9 ± 5.6 | 0.64 |
Medications, n | 2.0 ± 1.8 | 2.9 ± 1.7 | 1.3 ± 1.6 | 0.29 |
Eyes, n | 20 | 9 | 11 |
Complication | Total | Glaucoma Group | OH Group | p-Value |
---|---|---|---|---|
Hyphema | 3 (12.5) | 2 (15.4) | 1 (8.1) | 1.00 |
Vitreous hemorrhage | 2 (8.3) | 1 (7.7) | 1 (8.1) | 1.00 |
Choroidal detachment | 1 (4.2) | 1 (7.7) | 0 (0.0) | 1.00 |
Endophthalmitis | 1 (4.2) | 0 (0.0) | 1 (8.1) | 0.46 |
Additional glaucoma surgery | 4 (16.7) | 4 (30.8) | 0 (0.0) | 0.10 |
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Iwasaki, K.; Komori, R.; Arimura, S.; Takamura, Y.; Inatani, M. Intraocular Pressure-Lowering Effect of Intraocular Lens Refixation in Patients with Elevated Intraocular Pressure Due to Intraocular Lens Subluxation. Medicina 2024, 60, 1440. https://doi.org/10.3390/medicina60091440
Iwasaki K, Komori R, Arimura S, Takamura Y, Inatani M. Intraocular Pressure-Lowering Effect of Intraocular Lens Refixation in Patients with Elevated Intraocular Pressure Due to Intraocular Lens Subluxation. Medicina. 2024; 60(9):1440. https://doi.org/10.3390/medicina60091440
Chicago/Turabian StyleIwasaki, Kentaro, Ryohei Komori, Shogo Arimura, Yoshihiro Takamura, and Masaru Inatani. 2024. "Intraocular Pressure-Lowering Effect of Intraocular Lens Refixation in Patients with Elevated Intraocular Pressure Due to Intraocular Lens Subluxation" Medicina 60, no. 9: 1440. https://doi.org/10.3390/medicina60091440