The effect of poterior chamber intraocular lens (IOL) dimensions, design, style, loop fixation, and anterior capsular tears on decentration were investigated in an experimental model. Nine posterior chamber IOL's of various designs and styles with loop diameters between 12.0 and 14.0 mm and optic diameters between 5.0 and 7.0mm were implanted in human eyes obtained post mortem. Symmetrical and asymmetrical fixation were investigated in eyes with and without radial tears using the Miyake posterior view technique. Location of IOL loops proved to be most significant factor in IOL decentration. Decentration was least with symmetrical bag/bag fixation and no radial tears (mean = 0.20 ± 0.05 mm). Asymmetrical bag/sulcus fixation in the presence of anterior capsular tears was associated with the highest decentration rate (mean 0.68 ± 0.28 mm). Optic size and total loop diameter had no apparent effect on IOL centration in the immediate postoperative period.
- capsular tear
- intraocular lens dimensions
- loop fixation
- posterior chamber intraocular lens