Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (6): 7-12.doi: 10.6040/j.issn.1673-3770.0.2022.237

• 研究进展 • Previous Articles    

Prediction and stability of axial intraocular lens position after cataract surgery

SUN JiOverview,LI CanGuidance   

  1. Department of Ophthalmology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
  • Published:2022-12-07

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Abstract: As the eyeball biometric technology makes progress, a key factor affecting the refractive error after cataract surgery is reflected in the position prediction of intraocular lens after cataract surgery. Some eyeball anatomical parameters reportedly influenced the postoperative prediction of the intraocular lens. Several prediction methods have been developed. However, most intraocular lenses move linearly and stabilize after surgery instead of remaining fixed in the initial position. The change in the lens position is influenced by the eye anatomy, surgical procedure, intraocular lens characteristics, capsular bag, and other related factors. The refractive changes are caused by the changes in the axial position of the intraocular lens, and its stability is crucial to the quality of the patient's vision. This study aimed to review the methods of predicting the axial position of the intraocular lens after cataract surgery and the factors related to its stability.

Key words: Cataract, Axial intraocular lens position, Effective lens position, Intraocular lens, Refractive error, Visual quality

CLC Number: 

  • R776.1
[1] Norrby S. Sources of error in intraocular lens power calculation[J]. J Cataract Refract Surg, 2008, 34(3): 368-376. doi:10.1016/j.jcrs.2007.10.031.
[2] Olsen T. Calculation of intraocular lens power: a review[J]. Acta Ophthalmol Scand, 2007, 85(5): 472-485. doi:10.1111/j.1600-0420.2007.00879.x.
[3] Li TY, Stein J, Nallasamy N. AI-powered effective lens position prediction improves the accuracy of existing lens formulas[J]. Br J Ophthalmol, 2022, 106(9): 1222-1226. doi:10.1136/bjophthalmol-2020-318321.
[4] Plat J, Hoa D, Mura F, et al. Clinical and biometric determinants of actual lens position after cataract surgery[J]. J Cataract Refract Surg, 2017, 43(2): 195-200. doi:10.1016/j.jcrs.2016.11.043.
[5] Olsen T. Prediction of the effective postoperative(intraocular lens)anterior chamber depth[J]. J Cataract Refract Surg, 2006, 32(3): 419-424. doi:10.1016/j.jcrs.2005.12.139.
[6] Ning XN, Yang YH, Yan H, et al. Anterior chamber depth- a predictor of refractive outcomes after age-related cataract surgery[J]. BMC Ophthalmol, 2019, 19(1): 134. doi:10.1186/s12886-019-1144-8.
[7] Yoo YS, Whang WJ, Kim HS, et al. Preoperative biometric measurements with anterior segment optical coherence tomography and prediction of postoperative intraocular lens position[J]. Medicine(Baltimore), 2019, 98(50): e18026. doi:10.1097/MD.0000000000018026.
[8] Shajari M, Sonntag R, Niermann T, et al. Determining and comparing the effective lens position and refractive outcome of a novel rhexis-fixated lens to established lens designs[J]. Am J Ophthalmol, 2020, 213: 62-68. doi:10.1016/j.ajo.2020.01.009.
[9] Eom Y, Song JS, Kim HM. Spectacle plane add power of multifocal intraocular lenses according to effective lens position[J]. Can J Ophthalmol, 2017, 52(1): 54-60. doi:10.1016/j.jcjo.2016.07.026.
[10] 李璟, 张辉, 王晶. 不同人工晶状体植入对视觉质量影响的临床研究[J]. 山东大学耳鼻喉眼学报, 2022, 36(2): 90-95. doi:10.6040/j.issn.1673-3770.0.2021.392. LI Jing, ZHANG Hui, WANG Jing. A clinical study on the effect of using different intraocular lens implants on visual quality[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 90-95. doi:10.6040/j.issn.1673-3770.0.2021.392.
[11] 胡颖峰, 贾玉叶, 王艳, 等. Kappa与Alpha角在白内障手术前后的变化分析[J]. 山东大学耳鼻喉眼学报, 2022, 36(2): 83-89. doi: 10.6040/j.issn.1673-3770.0.2021.365. HU Yingfeng, JIA Yuye, WANG Yan, et al. Changes of kappa angle and alpha angle before and after cataract surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 83-89. doi: 10.6040/j.issn.1673-3770.0.2021.365.
[12] Klijn S, Sicam VADP, Reus NJ. Long-term changes in intraocular lens position and corneal curvature after cataract surgery and their effect on refraction[J]. J Cataract Refract Surg, 2016, 42(1): 35-43. doi:10.1016/j.jcrs.2015.08.015.
[13] Fukumitsu H, Camps VJ, Miraflores S, et al. Relationship between medium-term changes in intraocular lens position and refraction after cataract surgery with two different models of monofocal lenses[J]. J Clin Med, 2021, 10(17): 3856. doi:10.3390/jcm10173856.
[14] Hu CY, Jian JH, Cheng YP, et al. Analysis of crystalline lens position[J]. J Cataract Refract Surg, 2006, 32(4): 599-603. doi:10.1016/j.jcrs.2006.01.016.
[15] Fukumitsu H, Camps VJ, Miraflores S, et al. Could anatomical changes occurring with cataract surgery have a clinically significant effect on effective intraocular lens position? [J]. Int Ophthalmol, 2021, 41(5): 1895-1907. doi:10.1007/s10792-021-01751-y.
[16] Schröder S, Langenbucher A. Relationship between effective lens position and axial position of a thick intraocular lens[J]. PLoS One, 2018, 13(6): e0198824. doi:10.1371/journal.pone.0198824.
[17] Teshigawara T, Meguro A, Mizuki N. Relationship between postoperative intraocular lens shift and postoperative refraction change in cataract surgery using three different types of intraocular lenses[J]. Ophthalmol Ther, 2021, 10(4): 989-1002. doi:10.1007/s40123-021-00390-x.
[18] Ozates S, Kiziltoprak H, Koc M, et al. Intraocular lens position in combined phacoemulsification and vitreoretinal surgery[J]. Retina, 2018, 38(11): 2207-2213. doi:10.1097/IAE.0000000000001840.
[19] Findl O, Hirnschall N, Draschl P, et al. Effect of manual capsulorhexis size and position on intraocular lens tilt, centration, and axial position[J]. J Cataract Refract Surg, 2017, 43(7): 902-908. doi:10.1016/j.jcrs.2017.04.037.
[20] Li SX, Hu YP, Guo R, et al. The effects of different shapes of capsulorrhexis on postoperative refractive outcomes and the effective position of the intraocular lens in cataract surgery[J]. BMC Ophthalmol, 2019, 19(1): 59. doi:10.1186/s12886-019-1068-3.
[21] Miháltz K, Vécsei-Marlovits PV. The impact of visual axis position on the optical quality after implantation of multifocal intraocular lenses with different asphericity values[J]. Graefes Arch Clin Exp Ophthalmol, 2021, 259(3): 673-683. doi:10.1007/s00417-020-05052-5.
[22] Bang SP, Yoo YS, Jun JH, et al. Effects of residual anterior lens epithelial cell removal on axial position of intraocular lens after cataract surgery[J]. J Ophthalmol, 2018(19): 9704892. doi:10.1155/2018/9704892.
[23] Wirtitsch MG, Findl O, Menapace R, et al. Effect of haptic design on change in axial lens position after cataract surgery[J]. J Cataract Refract Surg, 2004, 30(1): 45-51. doi:10.1016/S0886-3350(03)00459-0.
[24] Cabeza-Gil I, Pérez-Gracia J, Remón L, et al. Effect of haptic geometry in C-loop intraocular lenses on optical quality[J]. J Mech Behav Biomed Mater, 2021, 114: 104165. doi:10.1016/j.jmbbm.2020.104165.
[25] Cabeza-Gil I, Ariza-Gracia MÁ, Remón L, et al. Systematic study on the biomechanical stability of C-loop intraocular lenses: approach to an optimal design of the haptics[J]. Ann Biomed Eng, 2020, 48(4): 1127-1136. doi:10.1007/s10439-019-02432-9.
[26] Choi M, Lazo MZ, Kang MJ, et al. Effect of number and position of intraocular lens haptics on anterior capsule contraction: a randomized, prospective trial[J]. BMC Ophthalmol, 2018, 18(1): 78. doi:10.1186/s12886-018-0742-1.
[27] Hayashi K, Hayashi H. Comparison of the stability of 1-piece and 3-piece acrylic intraocular lenses in the lens capsule[J]. J Cataract Refract Surg, 2005, 31(2): 337-342. doi:10.1016/j.jcrs.2004.06.042.
[28] Savini G, Barboni P, Ducoli P, et al. Influence of intraocular lens haptic design on refractive error[J]. J Cataract Refract Surg, 2014, 40(9): 1473-1478. doi:10.1016/j.jcrs.2013.12.018.
[29] Zhong XJ, Long EP, Chen W, et al. Comparisons of the in-the-bag stabilities of single-piece and three-piece intraocular lenses for age-related cataract patients: a randomized controlled trial[J]. BMC Ophthalmol, 2016, 8(16): 100. doi:10.1186/s12886-016-0283-4.
[30] Landers J, Liu H. Choice of intraocular lens may not affect refractive stability following cataract surgery[J]. Clin Exp Ophthalmol, 2005, 33(1): 34-40. doi:10.1111/j.1442-9071.2005.00940.x.
[31] Rajesh SJ. Study on buckling of intraocular lens haptic in 2 types of intraocular lens material and its effect on vision[J]. Rom J Ophthalmol, 2020, 64(4): 387-395. doi:10.22336/rjo.2020.60.
[32] Petternel V, Menapace R, Findl O, et al. Effect of optic edge design and haptic angulation on postoperative intraocular lens position change[J]. J Cataract Refract Surg, 2004, 30(1): 52-57. doi:10.1016/S0886-3350(03)00556-X.
[33] Maedel S, Evans JR, Harrer-Seely A, et al. Intraocular lens optic edge design for the prevention of posterior capsule opacification after cataract surgery[J]. Cochrane Database Syst Rev, 2021, 16(8): CD012516. doi:10.1002/14651858.CD012516.pub2.
[34] Koeppl C, Findl O, Kriechbaum K, et al. Change in IOL position and capsular bag size with an angulated intraocular lens early after cataract surgery[J]. J Cataract Refract Surg, 2005, 31(2): 348-353. doi:10.1016/j.jcrs.2004.04.063.
[35] Xie TS, Liu X, Zhu J, et al. Effect of capsular tension ring on optical and multifunctional lens position outcomes: a systematic review and a meta-analysis[J]. Int Ophthalmol, 2021, 41(12): 3971-3984. doi:10.1007/s10792-021-01969-w.
[36] Vass C, Menapace R, Schmetterer K, et al. Prediction of pseudophakic capsular bag diameter based on biometric variables[J]. J Cataract Refract Surg, 1999, 25(10): 1376-1381. doi:10.1016/s0886-3350(99)00204-7.
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