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  Vol. 111 No. 3, March 1993 TABLE OF CONTENTS
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Long-term Results of Sutureless Phacoemulsification With Implantation of a 7-mm Polymethyl Methacrylate Intraocular Lens

Massimo Busin, MD; Jürgen Schmidt, MD; Jürgen Koch, MD; Manfred Spitznas, MD

Arch Ophthalmol. 1993;111(3):333-338.


Abstract

• In an attempt to minimize postoperative astigmatism while retaining the advantages of implanting intraocular lenses with large optics, sutureless phacoemulsification with implantation of a 7-mm polymethyl methacrylate intraocular lens was performed through a modified scleral tunnel in 100 consecutive patients. Visual and keratometric results, as well as complications, were recorded during a follow-up period of 12 months. Average uncorrected visual acuity improved from 20/153 before surgery to 20/66 as early as 1 week after surgery. Average best corrected visual acuity improved from 20/86 before surgery to 20/39 as early as 1 week after surgery. No significant changes in visual acuity were recorded thereafter. The absolute value of keratometric astigmatism was not increased significantly at any postoperative examination time. The induced cylinder shifted from 1.26 dioptersx74.40° at 1 week to 1.22 Dx1.50° at 1 month after surgery, without further relevant changes thereafter. Mean (±SD) endothelial cell loss was 7.2%±6.1% at 1 month and 12.2%±5.4% at 6 months after surgery. Corneal thickness was not increased significantly at any postoperative examination time. Implantation of intraocular lenses with large optics through a scleral tunnel allows quick visual rehabilitation as well as early stability of refraction.



Author Affiliations

From University Eye Hospital, Bonn, Germany.


Footnotes

Accepted for publication October 20, 1992.

Reprint requests to Universitaets-Augenklinik, Sigmund Freud Strasse 25, 5300 Bonn 1, Germany (Dr Busin).



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Whimsy or Progress. How Can We Tell?
Busin
Arch Ophthalmol 1994;112:577-577.
ABSTRACT  

Long-term Results of Sutureless Phacoemulsification With Implantation of a 7-mm Polymethyl Methacrylate Intraocular Lens-Reply
Busin
Arch Ophthalmol 1994;112:578-578.
ABSTRACT  

Long-term Results of Sutureless Phacoemulsification With Implantation of a 7-mm Polymethyl Methacrylate Intraocular Lens
Girard
Arch Ophthalmol 1994;112:577-578.
ABSTRACT  





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