Posterior Vault Distance of Ciliary SulcusAmplanted Three-piece Intraocular Lenses According to Ciliary Sulcus Diameter

Abstract

PURPOSE: To investigate the correlation among preoperative biometry data, postoperative ciliary sulcus diameter, posterior vault distance, and effective lens position of ciliary sulcus implanted intraocular lenses (IOLs). DESIGN: Retrospective interventional case series. METHODS: Twenty-six eyes of 26 patients underwent phacoemulsification with implantation of a ZA9003 IOL (Abbott Medical Optics Inc, Santa Ana, California, USA) in the ciliary sulcus. We analyzed correlations among preoperative biometry data and ultrasound biomicroscopy measurements, ciliary sulcus diameter, posterior vault distance, and effective lens position. Regression analyses were performed to identify which combination of preoperative biometry data, average corneal power (keratometry [K]), anterior chamber depth (ACD), and axial length (AL) was best for predicting effective lens position. RESULTS: The sulcus diameter was shorter in eyes that had a steep cornea and shorter AL. The posterior vault distance was negatively correlated with sulcus diameter in subjects who had shorter postoperative time intervals (524 months) (R-2 = 0.336 and P =.038). The posterior vault distance decreased with each passing postoperative month (R-2 = 0.158 and P =.045). The R-2 value for predicting the effective lens positions of sulcus-implanted IOLs based on the entire average K, ACD, and AL was higher than those based on parts of these values. CONCLUSIONS: The effective lens position of sulcusimplanted IOLs can be affected by sulcus diameter, and lens position can change, especially in the early postoperative period. We recommend using the entire average K, ACD, and AL to predict the effective position of sulcus-implanted IOLs. (Am J Ophthalmol 2017;175:52-59. (C) 2016 Elsevier Inc. All rights reserved.)