Treatment of negative dysphotopsia with supplementary implantation of a sulcus-fixated intraocular lens

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Abstract

PURPOSE: Our aim was to evaluate the resolution of negative dysphotopsia supplementary implantation of a sulcus-fixated intraocular lens (IOL). This was a retrospective case series. Patients with severe negative were treated with supplementary implantation of the Rayner Sulcoflex (653 L) IOL. Primary outcome measurements were subjectively reported of dysphotopsia, best corrected distance visual acuity (CDVA), iris-IOL anterior chamber depth (ACD) and volume (ACV), angle opening distance trabecular-iris space area at 500 and 750 mum. RESULTS: A Rayner was implanted in seven patients (nine eyes) with negative dysphotopsias. resolved completely in six eyes, partially in one eye and remained two eyes. We did not find any significant changes in CDVA. Angle opening distance, ACD, ACV and iris-IOL distance reduced significantly after IOL implantation. CONCLUSIONS: Supplementary implantation of a Sulcoflex successfully treat negative dysphotopsia. The decrease in anterior dimensions in combination with the displacement of light rays by the edges of a Sulcoflex IOL may contribute to the resolution of symptoms.
Original languageEnglish
Pages (from-to)973-977
JournalGraefe's Archive for Clinical and Experimental Ophthalmology
Volume253
Issue number6
DOIs
Publication statusPublished - 1 Jan 2015

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