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大学・研究所にある論文を検索できる 「Usefulness of intraoperative optical coherence tomography to minimize the intraocular lens tilt during the intrascleral fixation: a clinical and experimental evaluation」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

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Usefulness of intraoperative optical coherence tomography to minimize the intraocular lens tilt during the intrascleral fixation: a clinical and experimental evaluation

Sotani, Yasuyuki Imai, Hisanori Iwane, Yukako Yamada, Hiroko Matsumiya, Wataru Miki, Akiko Kusuhara, Sentaro Nakamura, Makoto 神戸大学

2023.07.26

概要

To report the usefulness of intraoperative real-time adjustment of intraocular lens (IOL) tilt during the intrascleral fixation with intraoperative optical coherence tomography (iOCT) as a clinical evaluation and investigate the factors contributing to IOL tilt using iOCT as an experimental evaluation. Retrospective cohort study and experimental research. As a clinical evaluation, the medical records of 43 eyes of 41 patients who underwent intrascleral IOL fixation combined with real-time iOCT observation were retrospectively reviewed. As an experimental evaluation, in order to investigate the factors contributing to IOL tilt, the four experiments were performed using iOCT. The mean IOL tilt angle (°) at the end of surgery and 3 months after surgery were 1.81 ± 1.15 and 2.10 ± 1.66, respectively (p = 0.46). No apparent intra- or postoperative complications occurred during the follow-up period. The experimental evaluation indicated that the IOL tilt was influenced by the insertion angle of the haptic in the vertical direction. The mean IOL tilt angle (°) was 1.94 ± 0.09, 4.67 ± 0.11, 8.90 ± 0.11, and 15.78 ± 0.85 when the insertion angle of the haptic was 0°, 10°, 27.5°, and 45° in the vertical direction, respectively (p < 0.01). Clinical and experimental IOL tilt assessment using iOCT is interactively useful for better quality surgery and better postoperative outcome.

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Author contributions

Data acquisition, H.I. and Y.S.; Data analysis and interpretation, H.I., Y.S., and H.Y.; Figures and tables preparation, H.I. and Y.S.; Writing of main manuscript text, H.I.; Critical review and revision of the manuscript, Y.I,

H.Y., W.M., A.M, S.K., and M.N. All authors have read and agreed to the published version of the manuscript.

Funding

This research received no external funding.

Competing interests The authors declare no competing interests.

Additional information

Supplementary Information The online version contains supplementary material available at https://​doi.​org/​

10.​1038/​s41598-​023-​39294-0.

Correspondence and requests for materials should be addressed to H.I.

Reprints and permissions information is available at www.nature.com/reprints.

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