Influence of Nd:YAG laser capsulotomy on toric intraocular lens rotation and change in cylinder power

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dc.contributor.authorÇinar, Esat
dc.contributor.authorYüce, Berna
dc.contributor.authorAslan, Fatih
dc.contributor.authorErbakan, Gökhan
dc.date.accessioned2026-01-24T12:20:44Z
dc.date.available2026-01-24T12:20:44Z
dc.date.issued2024
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractPurpose:To investigate toric monofocal intraocular lens (TIOL) rotation and associated changes in cylinder power caused by Nd:YAG laser capsulotomy performed due to posterior capsule opacification (PCO).Setting:Ekol Eye Hospital, Izmir, Turkey.Design:Prospective case series.Methods:41 eyes of 20 women and 21 men were included in the study. Before and 1 month after Nd:YAG laser capsulotomy, TIOL tilt and decentration were determined with Scheimpflug camera, and TIOL axial rotation and the change in cylinder power induced by this rotation were measured by ray tracing aberrometry. The time interval between cataract surgery and Nd:YAG laser capsulotomy was noted.Results:Rotational misalignment of the TIOL was measured as 4.65 ± 2.75 degrees (range 0 to 11 degrees) before vs 6.97 ± 2.92 degrees (range 0 to 13 degrees) after capsulotomy, and absolute rotation was 2.75 ± 1.94 degrees (range 0 to 7 degrees, P =.028). Before and after Nd:YAG laser capsulotomy, cylinder power was 0.24 ± 0.70 diopter (D) (range 0.00 to 0.63 D) vs 0.56 ± 0.77 D (range 0.02 to 0.91 D), respectively, with an absolute change in cylinder power of 0.34 ± 0.22 D (range 0.01 to 0.90 D, P =.001). After capsulotomy, there was a significant decrease in IOL tilt in the horizontal and vertical planes and an increase in decentration (P <.05). Time interval (33.02 ± 12.9 months) and IOL horizontal decentration were independent factors affecting IOL rotation after capsulotomy (P <.05).Conclusions:Nd:YAG laser capsulotomy may cause TIOL rotation as well as tilt and decentration, resulting in a change in the TIOL's corrective effect on corneal astigmatism. Although this change was clinically insignificant, it may be beneficial to consider that TIOL rotational misalignment may occur in patients undergoing early capsulotomy. © 2024 Elsevier Inc.. All rights reserved.
dc.identifier.doi10.1097/j.jcrs.0000000000001306
dc.identifier.endpage50
dc.identifier.issn0886-3350
dc.identifier.issue1
dc.identifier.pmid37702513
dc.identifier.scopus2-s2.0-85180595649
dc.identifier.scopusqualityQ1
dc.identifier.startpage43
dc.identifier.urihttps://doi.org/10.1097/j.jcrs.0000000000001306
dc.identifier.urihttps://hdl.handle.net/20.500.12868/4545
dc.identifier.volume50
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams and Wilkins
dc.relation.ispartofJournal of Cataract and Refractive Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_Scopus_20260121
dc.subjectofloxacin
dc.subjectprednisolone acetate
dc.subjectaberrometry
dc.subjectadult
dc.subjectaged
dc.subjectanterior eye chamber
dc.subjectanterior eye chamber angle
dc.subjectanterior eye chamber depth
dc.subjectanterior eye chamber volume
dc.subjectArticle
dc.subjectastigmatism
dc.subjectcapsulorhexis
dc.subjectcapsulotomy
dc.subjectcataract
dc.subjectcataract extraction
dc.subjectcentral corneal thickness
dc.subjectclinical article
dc.subjectclinical trial
dc.subjectcorrected distance visual acuity
dc.subjecteye examination
dc.subjectfemale
dc.subjectfollow up
dc.subjecthuman
dc.subjectlens implantation
dc.subjectlens power
dc.subjectmale
dc.subjectpachymetry
dc.subjectpostoperative period
dc.subjectpreoperative period
dc.subjectprospective study
dc.subjectrefraction error
dc.subjectrisk factor
dc.subjectrotation
dc.subjecttreatment duration
dc.subjectdrug therapy
dc.subjectlaser therapy
dc.subjectlens capsule
dc.subjectpostoperative complication
dc.subjectprocedures
dc.subjectFemale
dc.subjectHumans
dc.subjectLaser Therapy
dc.subjectLasers, Solid-State
dc.subjectLens Capsule, Crystalline
dc.subjectLens Implantation, Intraocular
dc.subjectLenses, Intraocular
dc.subjectMale
dc.subjectPosterior Capsulotomy
dc.subjectPostoperative Complications
dc.titleInfluence of Nd:YAG laser capsulotomy on toric intraocular lens rotation and change in cylinder power
dc.typeArticle

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