Table 1 DMEK and Premium IOLs
Article | IOL type | Corneal illness | N. eyes | Staging of cataract/ DMEK | IOL | Visual outcomes | Refractive outcomes | % eyes within target | Complications |
|---|---|---|---|---|---|---|---|---|---|
Pereira [19] | MIOL | 3 PBK, 3 FECD, 2 DM detachment, 2 TASS | 9 | 1º cataract, 2º DMEK | IOLs were previously implanted by other surgeons 8 = AcrySof® ReSTOR® + 3.0 D 1 = AcrySof® ReSTOR® + 3.0 D Toric T5 IOL | CDVA > 20/20 = 25% UDVA > 20/25 = 37.5% | Refractive shift* 2 = + 0.625 1 = -0.25 1 = neutral *Only possible to calculate in 4 eyes | N/A | 2 re-bubbling, 2 CME, 2 capsulotomy, 2 LASIK enhancement |
Nanavaty [16] | MIOL | FECD | 2 | 1º cataract, 2º DMEK | PanOptix | UDVA 20/16 UNVA 20/20 | N/A | N/A | No |
Price [18] | EDoF (14) & MIOL (2) | FECD | 16 | 1º DMEK, 2º cataract | Power calculation: PCI + US biometry + topography Formula: Holladay II (compared with Barrett Universal II and the Hill radial basis function) | Mean CDVA = 20/20 Mean UCDA = 20/25 | Mean SE 0.05D (range -0.75 to + 0.75D) | All eyes ended up 0.75 D of emmetropia | Capsulotomy, number not specified |
Yokogawa [23] | TIOL | FECD | 15 | Triple | - Spherical power calculated with SRK/T with PCI + US biometry, then aimed spherical refractive target of -0.5/-1D - Toric calculation: Alcon online toric calculator. Pentacam values used for simulated front keratometry. Target postop. astigmatism: 0 - IOL: AcrySof IQ toric | Mean CDVA = 20/24 UDVA = 53.6% > 20/25 | Mean decrease in astigmatism 2.23 ± 1.10D to 0.87 ± 0.75D | Mean prediction error = 0.77 ± 0.54 D (range 0.10–1.77 D WTR = 1.01 ± 0.57 D (range 0.21–1.77) ATR = 0.44 ± 0.30 D (range 0.10–0.79) | 1 eye 43 degrees rotation |
Trindade [30] | TIOL | FECD | 4 | Triple | PCI Barrett true-K formula IOL: SN6ATx | Median UDVA = LogMAR (0.12 ± 0.04) UDVA = 100% > 20/30 | Refractive astigmatism (centroid) 0.09 ± 0.53D | N/A | 1 re-bubbling |
Schoenberg [14] | TIOL | FECD | 8 | Triple | - Spherical power calculated with SRK/T with PCI + US biometry, then aimed for a spherical refractive target individualized to patient´s preferences plus -0.50D - Toric calculation: Alcon online toric calculator. Pentacam values used for simulated front keratometry. Target postop. astigmatism: 0 - IOL: AcrySof IQ toric | Mean CDVA = 20/20 Mean UDVA = 20/30 | Refractive astigmatism 0.94 ± 0.90D | N/A | 1 eye no improvement in refractive astigmatism |