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     Next 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

PDF (PC)

344

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.
[1] WANG Xinmeng, JI Junya, YU Haonan, FU Hongchen, WANG Xiang, ZHENG Zekun, LI Yan, ZHONG Yingying. Analysis of refractive prediction accuracy after phacoemulsification combined with goniosynechialysis in acute Angle closure glaucoma [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(2): 74-79.
[2] PAN Ruolin, LIAO Xuan, LAN Changjun, TAN Qingqing, XIE Lixuan, HUANG Huan, QIN Suyun, WANG Yan. Experimental study on the influence of decentration and tilt on the optical properties of monofocal intraocular lens with different diopter [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(1): 38-46.
[3] LIU Zhen, ZHOU Weiwei, LIU Hanjing, ZHANG Yi, ZHU Yuguang, ZHU Yan. Influence of Alpha angle of intraocular lens on visual quality after the implantation of extended depth-of-field intraocular lens [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(1): 47-53.
[4] HUANG Qi, DENG Xuwen, WANG Peipei, CHEN Yequn, GU Xuejun. Research on evaluating the cataract surgery level of ophthalmologists using eyeSi surgical simulator [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(5): 83-88.
[5] WANG Sheng, HUANG Xudong. Recent advancements in the research on ferroptosis and age-related cataracts [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(5): 161-168.
[6] SUN Hongxiang, CAO Juan. Status of mental fragility in elderly cataract patients and its correlation with hope level and alexithymia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(1): 89-95.
[7] MA Jiling, WANG Xiaoming, LI Yan, MU Yanxiao, JIN Lin, KONG Hui, YANG Naifu, DANG Guangfu. Evaluation of three different aspheric intraocular lens tilts and decentrations in capsular bags after cataract surgery based on CASIA2 [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(4): 76-85.
[8] LI Yang, MA Ping, ZHANG Han. Effect of different Glaucoma surgery on induced astigmatism [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(3): 137-143.
[9] WANG Daoguang, MA Yuanxiao, WANG Yucheng, REN Mengjia, CAI Keli. A controlled study of visual function after implantation of AT LISA 809M bifocal and Proming A1-UV monofocal intraocular lens [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(1): 39-45.
[10] YUSUFU·Maierhaba, ABULA·Kelimujiang, DING Lin, QIN Yanli, CHEN Xueyi. Fundus changes in high myopia cataract with posterior scleral staphyloma [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(5): 107-114.
[11] LI Wanyu, GU Xuejun. Anti-neutrophil cytoplasmic antibody associated vasculitis complicated with scleritis and cataract: a case study and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(4): 149-152.
[12] HAN Yiping, ZHANG Han. Research progress on the pathogenesis of posterior capsular opacification and on anterior capsular polishing [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(4): 181-186.
[13] ZHANG Yi, TANG Li. Oculocerebrorenal syndrome of lowe with glaucoma: a case report [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(3): 93-97.
[14] DONG Shuguang, GUO Fengfei, MENG Xuxia, YAN Shilong. Retrospective analysis of the causes of anterior capsular tear in early femtosecond laser-assisted cataract surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(1): 110-114.
[15] DUAN Lian, MENG FanlanReview,DANG GuangfuGuidance. Effect of dry eye on refractive cataract surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(6): 1-6.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd