![]() ![]() Ostern AE, Sandvik GF, Drolsum L (2014) Positioning of the posterior intraocular lens in the longer term following cataract surgery in eyes with and without pseudoexfoliation syndrome. Curr Opin Ophthol 28:98–103ĭrolsum L, Haaskjold E, Davanger M (1993) Pseudoexfoliation syndrome and extracapsular cataract extraction. Lee CM, Afshari NA (2017) The global state of cataract blindness. Patients affected by PES seem to have a higher risk for long-term complications and changes in visual perception due to IOL tilt and decentration after cataract surgery. This indicates a forward tilt of the superior edge of the IOL in eyes with PES. ![]() Tilt correlated with capsulorhexis size in PES patients ( p = 0.011). Horizontal as well as vertical tilt showed a significant difference between PES and control eyes ( p = 0.035 and p = 0.039). Measurements with iTrace showed that horizontal coma was significantly different between PES and control eyes ( p = 0.037). The iTrace VFA (Visual Function Analyzer, Hoya surgical optics) was used to measure corneal, internal, and total optical aberrations. IOL decentration and IOL tilt were evaluated using Visante Omni anterior segment OCT (Carl Zeiss Jena GmBH, Germany). Best-corrected visual acuity (BCVA), capsulorhexis size, and intraocular pressure (IOP) were measured. A standard phacoemulsification procedure followed by IOL implantation was performed and patients were followed 4–6 years after surgery (mean = 69 months). Sixty-four eyes following cataract surgery from 2009 to 2012 were included, 34 eyes had PES and 30 eyes did not show PES. ![]() To evaluate long-term intraocular lens (IOL) decentration and tilt in eyes with pseudoexfoliation syndrome (PES) following cataract surgery using Visante anterior segment OCT and iTrace Visual Function Analyzer. ![]()
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