Long-Term Endothelial Cell Changes after Angle-Supported Anterior Chamber Lens Implantation in Phakic Eyes

2012 ◽  
Vol 53 (2) ◽  
pp. 208 ◽  
Author(s):  
Jenny Yang ◽  
Jin Ki Lee
2008 ◽  
Vol 34 (12) ◽  
pp. 2110-2118 ◽  
Author(s):  
Muriël Doors ◽  
Diana W.J.K. Cals ◽  
Tos T.J.M. Berendschot ◽  
John de Brabander ◽  
Fred Hendrikse ◽  
...  

1998 ◽  
Vol 24 (11) ◽  
pp. 1515-1520 ◽  
Author(s):  
Tatsu Sawada ◽  
Wataru Kimura ◽  
Tohru Kimura ◽  
Hideki Suga ◽  
Akitoshi Ohte ◽  
...  

Ophthalmology ◽  
2008 ◽  
Vol 115 (4) ◽  
pp. 608-613.e1 ◽  
Author(s):  
Ruchi Saxena ◽  
Sharmila S. Boekhoorn ◽  
Paul G.H. Mulder ◽  
Bastiaantje Noordzij ◽  
Gabriel van Rij ◽  
...  

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Yating Tang ◽  
Jie Xu ◽  
Jiahui Chen ◽  
Yi Lu

Purpose. To investigate the long-term changes of corneal endothelial cells (EC) in anterior chamber intraocular lens- (AC-IOL-) implanted eyes. Methods. Retrospective study. We included 37 eyes (25 patients) that received AC-IOL implantation previously in the Eye and ENT Hospital of Fudan University between 1995 and 2016. Follow-up outcomes included the best-corrected visual acuity (BCVA), endothelial cell density, hexagonality, coefficient of variance, and central corneal thickness. Results. In total, 23 eyes (62.16%) with phakic and 14 eyes (37.84%) with aphakic AC-IOLs were included. Among these, 3 eyes (8.11%) were angle-supported AC-IOLs and 34 eyes (91.89%) were Artisan iris-fixated AC-IOLs. The mean age of patients was 41.40 ± 17.17 years, and the mean follow-up time was 12.12 ± 4.71 years in our study. At the follow-up time, corneal decompensation existed in 3 angle-supported AC-IOL eyes with a rate of 100% and 15 iris-fixated AC-IOL eyes with a rate of 44.12%. AC-IOL displacement occurred in 14 (41.18%) iris-fixated AC-IOL eyes. In the 19 iris-fixated AC-IOL eyes without corneal decompensation, significant changes also took place in corneal endothelial cells. The endothelial cell density decreased from 2843.26 ± 300.76 to 2015.58 ± 567.99 cells/mm2 (29.1% loss, P < 0.001 ) and hexagonality decreased from 51.21 ± 7.83 to 42.53 ± 9.17 (%) (16.9% loss, P < 0.001 ). The Kaplan–Meier survival curve also demonstrated the accumulated expectation rates of corneal endothelial cell decomposition for AC-IOLs with a median survival time of 12 years. Conclusion. We reported a significant chronic loss and long-term decompensation destiny of corneal endothelial cells in AC-IOL eyes. Semiannual or annual follow-up and evaluation of endothelial cells should be conducted in AC-IOL-implanted patients.


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