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Wang Y, Lou X, Qian S, Li Y, Wu X, Li S, Wang Y, Zhao Y, Chang P. Comparison of the effect of capsular bend on the rotational stability between 2 toric intraocular lenses. J Cataract Refract Surg 2024; 50:283-288. [PMID: 38085243 PMCID: PMC10878446 DOI: 10.1097/j.jcrs.0000000000001373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Revised: 11/17/2023] [Accepted: 11/20/2023] [Indexed: 02/22/2024]
Abstract
PURPOSE To compare the effect of capsular bend on the rotational stability between 2 toric intraocular lenses (IOLs). SETTING Eye Hospital of Wenzhou Medical University, Hangzhou, Zhejiang Province, China. DESIGN Prospective study. METHODS Patients with preexisting astigmatism received AcrySof IQ (SN6AT) or TECNIS (ZCT/ZMT) toric IOL during cataract surgery. CASIA2 was used to record the toric IOL axial orientation and capsular bend index (CBI) at the 1-day, 1-week, 1-month, and 3-month interval postoperatively. The postoperative rotational stability and CBI of both models were compared. RESULTS A total of 58 eyes from 58 patients were enrolled in this study. The total misalignment of the TECNIS (ZCT/ZMT) group (6.96 ± 5.10 degrees, 7.41 ± 5.19 degrees, 6.93 ± 5.29 degrees, and 6.86 ± 5. 27 degrees) was significantly higher than that of the AcrySof IQ (SN6AT) group (3.55 ± 2.21 degrees, 4.00 ± 2.74 degrees, 3.72 ± 2.72 degrees, and 3.52 ± 2.50 degrees) at all follow-up intervals ( P < .05). The mean rotation of the TECNIS (ZCT/ZMT) group (2.66 ± 2.18 degrees) was significantly greater than that of the AcrySof IQ (SN6AT) group (1.65 ± 1.47 degrees) from 1 day to 1 week postoperatively ( P < .05). The capsular bend formation in the TECNIS (ZCT/ZMT) group was delayed compared with the AcrySof IQ (SN6AT) group ( P < .05, at the 1-week, 1-month, and 3-month interval). The TECNIS (ZCT/ZMT) group showed fibrosis in the peripheral anterior capsule, leading to its stretching away from the IOL surface, while the AcrySof IQ (SN6AT) group exhibited gentle adherence of the anterior capsule to the IOL surface. CONCLUSIONS The AcrySof IQ toric IOL (SN6AT) exhibited greater rotational stability than the TECNIS toric IOL (ZCT/ZMT), which may partially result from the delay in capsular bend formation of TECNIS at the 1-day to 1-week follow-up postoperatively.
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Affiliation(s)
- Yiyi Wang
- From the Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); Eye Hospital of Wenzhou Medical University Hangzhou Branch, Hangzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); The First Affiliated Hospital of Ningbo University, Ningbo, China (Qian)
| | - Xicong Lou
- From the Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); Eye Hospital of Wenzhou Medical University Hangzhou Branch, Hangzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); The First Affiliated Hospital of Ningbo University, Ningbo, China (Qian)
| | - Shuyi Qian
- From the Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); Eye Hospital of Wenzhou Medical University Hangzhou Branch, Hangzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); The First Affiliated Hospital of Ningbo University, Ningbo, China (Qian)
| | - Yuanyuan Li
- From the Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); Eye Hospital of Wenzhou Medical University Hangzhou Branch, Hangzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); The First Affiliated Hospital of Ningbo University, Ningbo, China (Qian)
| | - Xueer Wu
- From the Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); Eye Hospital of Wenzhou Medical University Hangzhou Branch, Hangzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); The First Affiliated Hospital of Ningbo University, Ningbo, China (Qian)
| | - Siyan Li
- From the Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); Eye Hospital of Wenzhou Medical University Hangzhou Branch, Hangzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); The First Affiliated Hospital of Ningbo University, Ningbo, China (Qian)
| | - Yalan Wang
- From the Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); Eye Hospital of Wenzhou Medical University Hangzhou Branch, Hangzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); The First Affiliated Hospital of Ningbo University, Ningbo, China (Qian)
| | - Yune Zhao
- From the Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); Eye Hospital of Wenzhou Medical University Hangzhou Branch, Hangzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); The First Affiliated Hospital of Ningbo University, Ningbo, China (Qian)
| | - Pingjun Chang
- From the Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); Eye Hospital of Wenzhou Medical University Hangzhou Branch, Hangzhou, China (Yiyi Wang, Lou, Y. Li, Wu, S. Li, Yalan Wang, Zhao, Chang); The First Affiliated Hospital of Ningbo University, Ningbo, China (Qian)
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Chang P, Chen D, Hu B, Wang Y, Qian S, Ding X, Zhao Y. Effect of capsular bend on the rotational stability of toric intraocular lens. Eye (Lond) 2023; 37:480-485. [PMID: 35165380 PMCID: PMC9905548 DOI: 10.1038/s41433-022-01964-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2021] [Revised: 01/12/2022] [Accepted: 02/02/2022] [Indexed: 11/09/2022] Open
Abstract
PURPOSE To assess the effect of capsular bend and axial length on the rotational stability of toric IOL. METHODS The prospective study included patients with preexisting astigmatism that were implanted with Acrysof IQ Toric IOL. According to the pre‑operative axial length, all patients were divided into 2 groups: high myopia (AL ≥ 26 mm) group, and emmetropia or low to moderate myopia group (AL <26 mm). High-speed Swept-source Optical Coherence Tomography (SS-OCT) radial scanning was performed after pupil dilation to obtain the toric IOL axial orientation and capsular bending index (CBI) at 1-day, 1-week, 1-month and 3-month intervals postoperatively. The correlation between the rotation of toric intraocular lens and the axial length or CBI was subsequently analyzed. RESULTS 68 eyes of 57 patients were included in the research. The rotation of toric IOL within the high myopia group was greater than the control group (P = 0.001, 1month postoperative). Capsular contact with the IOL was delayed in highly myopic eyes, although the results were not statistically significant (P = 0.094, 1-month postoperatively). There was a positive correlation between the degree of rotation and axial length at the interval found between 1-week and 1-month after the operation (r = 0.333, P = 0.005). There was a significant negative correlation between the IOL rotational speed and CBI (P < 0.001). The regression equation was Y = -0.441*X + 1.712 (R2 = 0.323, P < 0.001). CONCLUSION There was a significant negative correlation between the IOL rotation speed and the CBI, while the influence of the axial length and capsular bending mainly occurred between one week and one month after the operation.
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Affiliation(s)
- Pingjun Chang
- Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang, China
- National Clinical Research Center for Ocular Diseases, Wenzhou, Zhejiang, China
| | - Dongjie Chen
- Hwa Mei Hospital, University of Chinese Academy of Science (Ningbo No.2 Hospital), Ningbo, Zhejiang, China
| | - Bin Hu
- Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang, China
- National Clinical Research Center for Ocular Diseases, Wenzhou, Zhejiang, China
| | - Yalan Wang
- Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang, China
- National Clinical Research Center for Ocular Diseases, Wenzhou, Zhejiang, China
| | - Shuyi Qian
- Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang, China
- National Clinical Research Center for Ocular Diseases, Wenzhou, Zhejiang, China
| | - Xixia Ding
- Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang, China
- National Clinical Research Center for Ocular Diseases, Wenzhou, Zhejiang, China
| | - Yune Zhao
- Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang, China.
- National Clinical Research Center for Ocular Diseases, Wenzhou, Zhejiang, China.
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