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KMID : 0213520080220020081
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Korean Journal of Ophthalmology
2008 Volume.22 No. 2 p.81 ~ p.86
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Clinical Evaluation of Accommodative Intraocular Lens Implantation in High Myopic Eyes.
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Kim Jae-Hui
Park Chun-Sung
Chung Tae-Young
Chung Eui-Sang
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Abstract
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Purpose: To compare the clinical outcome of AT-45 implantation between high myopic eyes and non-high myopic eyes.
Methods: Retrospective, non-randomized, comparative trial. The medical charts of 28 patients with 35 eyes who had phacoemulsification and AT-45 implantation were retrospectively reviewed. 13 eyes of 10 patients were included in the high myopic group (axial length > or = 26.0 mm) and 22 eyes of 18 patients were included in the non-high myopic group. The clinical data included unilateral best-corrected visual acuity (BCVA) and distance-corrected near visual acuity (DCNVA) at 6 months follow-up after the surgery. The results were compared between the two groups.
Results: In the non-high myopic group, 22 eyes (100%) and 19 eyes (86.4%) achieved a BCVA of 20/25 and 20/20 or better respectively. For the high myopic group, the results were 13 eyes (100%) and 12 eyes (92.3%) respectively, at 6 months after the surgery. In the non-high myopic group, 21 (95.4%) and 7 eyes (31.8%) achieved a DCNVA of 20/40 and 20/25 or better. For the high myopic group, the results were 13 (100%) and 4 eyes (30.8%) respectively, at 6 months after the surgery, the differences between the two groups for a BCVA of 20/25 or better and 20/20 or better and a DCNVA 20/40 or better and 20/25 or better were not statistically significant.
Conclusion: Six months clinical outcome of cataract surgery with an AT-45 for the high myopic eyes was satisfactory; it was not significantly different from that of the non-high myopic eyes.
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KEYWORD
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Accommodative intraocular lens, AT-45, Cataract, Crystalens, High myopia
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