Incidence and Risk Factors of Repositioning Surgery to Correct Misalignment of Toric Intraocular Lenses after Cataract Surgery: A Single-Center Retrospective Observational Study.

IF 4.7 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2023-01-01 Epub Date: 2022-10-12 DOI:10.1159/000527408

Honglei Li, Jiajun Sun, Huiran Bai, Lin Leng, Yunhai Dai, Xiaoming Wu

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Abstract

Purpose: The aim of this study was to analyze the incidence and outcomes of repositioning surgery to correct misalignment of several toric intraocular lenses (IOLs) after cataract surgery.

Methods: In this retrospective study, patients who underwent repositioning surgery to correct misalignment of toric IOLs following cataract surgery between January 2019 and December 2021 were enrolled. The medical data on patients' age, gender, preoperative axial length, corneal astigmatism, the axis of astigmatism, IOL models, IOL axis, uncorrected distance visual acuity, residual refraction, and postoperative outcomes were analyzed.

Results: Among the 1,135 eyes implanted with toric IOLs at Qingdao Eye Hospital, 23 (2.026%, 23/1,135) underwent repositioning surgery. Univariate analysis revealed that the incidence of repositioning surgery was significantly lower with AcrySof (0.636%, 5/786) than with ZEISS (2.959%, 5/169) and TECNIS (7.222%, 13/180) IOL platforms; the incidence of repositioning surgery with monofocal toric IOLs (1.169%, 11/941) was significantly lower than multifocal toric IOLs (6.186%, 12/194) (p < 0.001); additionally, a significant difference in age was also observed (p = 0.002). Multivariate logistic regression analysis showed that the IOL platform (p = 0.004) and younger age (p = 0.006) were independent risk factors for repositioning surgery.

Conclusion: The incidence of repositioning surgery of toric IOLs after cataract surgery was 2.026%. It was linked to the IOL platform, multifocal toric IOLs, and younger age.

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白内障手术后进行重新定位手术以矫正散光眼内透镜错位的发生率和风险因素：单中心回顾性观察研究。

目的：本研究旨在分析白内障手术后接受复位手术矫正几种散光人工晶体（IOL）错位的发生率和结果：在这项回顾性研究中，纳入了在2019年1月至2021年12月期间接受复位手术以纠正白内障手术后散光人工晶体错位的患者。研究分析了患者的年龄、性别、术前轴度、角膜散光、散光轴度、人工晶体型号、人工晶体轴度、未矫正远视力、残余屈光度和术后结果等医学数据：在青岛眼科医院植入散光人工晶体的 1,135 只眼睛中，有 23 只（2.026%，23/1,135）接受了复位手术。单变量分析显示，AcrySof（0.636%，5/786）的重新定位手术发生率明显低于蔡司（2.959%，5/169）和 TECNIS（7.222%，13/180）人工晶体平台；单焦点散光人工晶体（1.169%，11/941）的重新定位手术发生率明显低于多焦点散光人工晶体（6.186%，12/194）（p < 0.001）；此外，还观察到年龄上的显著差异（p = 0.002）。多变量逻辑回归分析显示，人工晶体平台（p = 0.004）和年轻（p = 0.006）是重新定位手术的独立风险因素：结论：白内障手术后散光人工晶体复位手术的发生率为 2.026%。结论：白内障手术后散光人工晶体复位手术的发生率为 2.026%，这与人工晶体平台、多焦点散光人工晶体和年轻有关。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464

期刊介绍： ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.