Research Article
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%100 Glistening Free Göz İçi Lens İmplantasyonu Sonuçlarımız

Year 2025, Volume: 15 Issue: 2, 139 - 147, 15.06.2025
https://doi.org/10.16919/bozoktip.1547782

Abstract

Amaç: Bu çalışmanın amacı ENOVA GF3 göz içi lens implantasyonunun klinik sonuçlarını araştırmaktır.
Gereç ve Yöntem: Bu retrospektif çalışmada, XXXXX göz kliniğinde fakoemülsifikasyon uygulanan ve hidrofobik akrilik bir göz içi lens (GİL) olan ENOVA GF3 implante edilen hastaların sonuçlarını değerlendirdik. Çalışmaya tamamı aynı cerrah tarafından opere edilen, 292 hastanın 320 gözü dahil edildi. Ameliyat sonrası takip muayeneleri ameliyat sonrası 1. ve 7. günlerde ve 1., 3., 6. ve 12. aylarda yapıldı. Bu muayenelerde düzeltilmemiş uzak görme keskinliği, düzeltilmiş uzak görme keskinliği, düzeltilmemiş ve düzeltilmiş yakın görme keskinliği incelendi. Pupil dilatasyonundan sonra ön segmentin fotoğrafları çekildi, glistening ve arka kapsül kesafeti (AKK) oluşumları not edildi. Hedef refraksiyondan sapmalar hastaların postoperatif otorefraktometre değerlerine bakılarak belirlendi. Hastalara kontrast duyarlılık testleri uygulandı. Tüm hastaların yaşam kalitesi Ulusal Göz Enstitüsü Görme Fonksiyonları Ölçeği (NEI VFQ 25) anketi ile belirlendi.
Bulgular: Çalışmaya dahil edilen 282 gözün (%88) ortalama kesi boyutu 2,20 mm ve 38 gözün (%12) ortalama kesi boyutu ise 2,80 mm idi. İntraoperatif komplikasyonlar, 3 hastada (%0,01), gevşek iris (IFIS) ve 1 hastada (%0,003) arka kapsül rüptürü (AKR) idi. 6. ve 12. aydaki değerlendirmelerde ise glistening, AKK veya başka herhangi bir komplikasyon görülmedi. ENOVA GF3 implantasyonundan sonraki 12 aylık değerlendirmede hedef refraksiyon sapma değerleri 0,06 ± 0,71 ve ortalama düzeltilmiş görme keskinliği 0,98 ± 20 idi.
Sonuç: ENOVA GF3 GİL, intraoperatif komplikasyonlar ve postoperatif fibrin reaksiyonu, hedef refraksiyondan sapma, AKK ve glistening açısından güvenilir bir lenstir. ENOVA GF3’ün kısa ve uzun dönem sonuçları incelendiğinde, klinik pratikte tercih edilebileceğini düşünmekteyiz.

Ethical Statement

Çalışmanın etik kurul onayı Yozgat Bozok Üniversitesi Klinik Araştırmalar Etik Kurulu'ndan alınmıştır.

References

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Clinical Outcomes of 100% Glistening Free Intraocular Lens Implantation

Year 2025, Volume: 15 Issue: 2, 139 - 147, 15.06.2025
https://doi.org/10.16919/bozoktip.1547782

Abstract

Objective: The purpose of this study is to investigate the outcomes of ENOVA GF3
intraocular lens (IOL) implantation.
Materials and Methods: In this retrospective study, we evaluated the clinical results of patients undergoing phacoemulsification and implanted ENOVA GF3, a hydrophobic acrylic IOL, in XXXX ophthalmology clinic. 320 eyes of 292 patients were included in the study. All operations were performed by the same surgeon. The postoperative follow-up examinations were conducted on the 1 st and 7 th postoperative days and at the 1 st , 3 rd , 6 th and 12 th months. In these examinations, we examined uncorrected distance visual acuity, corrected distance visual acuity, uncorrected and corrected near visual acuity. Photographs of the anterior segment were taken after pupil dilation, Glistening and posterior capsule opacification (PCO) formations were noted. Deviations from the target refraction were determined by postoperative autorefractometer values. The patients underwent contrast sensitivity tests. All patients’ quality of life was determined with the National Eye Institute-Visual Function Questionnaire (NEI VFQ 25).
Results: In 282 eyes (88%) the mean incision size was 2.20 and in 38 eyes (12%) it was 2.80 mm. In terms of intraoperative complications, intraoperative floppy iris (IFIS) occurred in 3 patients (0.01%) and posterior capsule rupture (PCR) occurred in 1 patient (0.003%). Evaluations at 6 and 12 months showed no glistening, PCO or any other complications. The target refraction deviation values were 0.06 ± 0.71 and the mean corrected visual acuity was 0.98 ± 20 at the 12-month evaluation after IOL implantation.
Conclusion: It was found that the ENOVA GF3 IOL was a safe lens in terms of intraoperative complications, postoperative fibrin reaction, deviation from target refraction, PCO and glistening. Considering the short- and long-term results of ENOVA GF3, we suggest that it can be preferred in clinical practice.

References

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  • 1. Gurnani B, Kaur K. Phacoemulsification. [Updated 2023 Jun 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/ NBK576419/
  • 2. Werner L, Thatthamla I, Ong M, Schatz H, Garcia-Gonzalez M, Gros-Otero J, et al. Evaluation of clarity characteristics in a new hydrophobic acrylic IOL in comparison to commercially available IOLs. J Cataract Refract Surg. 2019 Oct;45(10):1490-7.
  • 2. Werner L, Thatthamla I, Ong M, Schatz H, Garcia-Gonzalez M, Gros-Otero J, et al. Evaluation of clarity characteristics in a new hydrophobic acrylic IOL in comparison to commercially available IOLs. J Cataract Refract Surg. 2019 Oct;45(10):1490-7.
  • 3. Farukhi MA, Werner L, Kohl JC, Gardiner GL, Ford JR, Cole SC, et al. Evaluation of uveal and capsule biocompatibility of a singlepiece hydrophobic acrylic intraocular lens with ultraviolet-ozone treatment on the posterior surface. J Cataract Refract Surg. 2015 May;41(5):1081-7.
  • 3. Farukhi MA, Werner L, Kohl JC, Gardiner GL, Ford JR, Cole SC, et al. Evaluation of uveal and capsule biocompatibility of a singlepiece hydrophobic acrylic intraocular lens with ultraviolet-ozone treatment on the posterior surface. J Cataract Refract Surg. 2015 May;41(5):1081-7.
  • 4. Pagnoulle C, Bozukova D, Gobin L, Bertrand V, Gillet-De Pauw M-C. Assessment of new-generation glistening-free hydrophobic acrylic intraocular lens material. J Cataract Refract Surg. 2012;38(7):1271-7.
  • 4. Pagnoulle C, Bozukova D, Gobin L, Bertrand V, Gillet-De Pauw M-C. Assessment of new-generation glistening-free hydrophobic acrylic intraocular lens material. J Cataract Refract Surg. 2012;38(7):1271-7.
  • 5. Balendiran V, Werner L, Ellis N, Shumway C, Jiang B, Kamae K, et al. Uveal and capsular biocompatibility of a new hydrophobic acrylic microincision intraocular lens. J Cataract Refract Surg. 2020;46(3):459-64.
  • 5. Balendiran V, Werner L, Ellis N, Shumway C, Jiang B, Kamae K, et al. Uveal and capsular biocompatibility of a new hydrophobic acrylic microincision intraocular lens. J Cataract Refract Surg. 2020;46(3):459-64.
  • 6. Tetz M, Jorgensen MR. New Hydrophobic IOL Materials and Understanding the Science of Glistenings. Curr Eye Res. 2015;40(10):969-81.
  • 6. Tetz M, Jorgensen MR. New Hydrophobic IOL Materials and Understanding the Science of Glistenings. Curr Eye Res. 2015;40(10):969-81.
  • 7. Blume I, Schwering P, Mulder M, Smolders C. Vapour sorption and permeation properties of poly (dimethylsiloxane) films. Journal of membrane science. 1991;61:85-97.
  • 7. Blume I, Schwering P, Mulder M, Smolders C. Vapour sorption and permeation properties of poly (dimethylsiloxane) films. Journal of membrane science. 1991;61:85-97.
  • 8. Tognetto D, Toto L, Sanguinetti G, Ravalico G. Glistenings in foldable intraocular lenses. J Cataract Refract Surg. 2002;28(7):1211-6.
  • 8. Tognetto D, Toto L, Sanguinetti G, Ravalico G. Glistenings in foldable intraocular lenses. J Cataract Refract Surg. 2002;28(7):1211-6.
  • 9. Rønbeck M, Behndig A, Taube M, Koivula A, Kugelberg M. Comparison of glistenings in intraocular lenses with three different materials: 12-year follow-up. Acta Ophthalmol. 2013 Feb;91(1):66- 70.
  • 9. Rønbeck M, Behndig A, Taube M, Koivula A, Kugelberg M. Comparison of glistenings in intraocular lenses with three different materials: 12-year follow-up. Acta Ophthalmol. 2013 Feb;91(1):66- 70.
  • 10. Hayashi K, Hirata A, Yoshida M, Yoshimura K, Hayashi H. Longterm effect of surface light scattering and glistenings of intraocular lenses on visual function. Am J Ophthalmol. 2012 Aug;154(2):240- 51.e2
  • 10. Hayashi K, Hirata A, Yoshida M, Yoshimura K, Hayashi H. Longterm effect of surface light scattering and glistenings of intraocular lenses on visual function. Am J Ophthalmol. 2012 Aug;154(2):240- 51.e2
  • 11. Werner L. Glistenings and surface light scattering in intraocular lenses. J Cataract Refract Surg. 2010;36(8):1398-420.
  • 11. Werner L. Glistenings and surface light scattering in intraocular lenses. J Cataract Refract Surg. 2010;36(8):1398-420.
  • 12. Colin J, Orignac I, Touboul D. Glistenings in a large series of hydrophobic acrylic intraocular lenses. J Cataract Refract Surg. 2009;35(12):2121-6.
  • 12. Colin J, Orignac I, Touboul D. Glistenings in a large series of hydrophobic acrylic intraocular lenses. J Cataract Refract Surg. 2009;35(12):2121-6.
  • 13. Michael R, van Rijn LJ, van den Berg TJ, Barraquer RI, Grabner G, Wilhelm H,et al. Association of lens opacities, intraocular straylight, contrast sensitivity and visual acuity in European drivers. Acta Ophthalmol. 2009 Sep;87(6):666-71.
  • 13. Michael R, van Rijn LJ, van den Berg TJ, Barraquer RI, Grabner G, Wilhelm H,et al. Association of lens opacities, intraocular straylight, contrast sensitivity and visual acuity in European drivers. Acta Ophthalmol. 2009 Sep;87(6):666-71.
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There are 76 citations in total.

Details

Primary Language English
Subjects Surgery (Other), Ophthalmology, Optical Technology
Journal Section Original Research
Authors

Hasan Ali Bayhan 0000-0002-3364-6890

Koçer Furkan Durukan 0000-0001-8103-7435

Seray Aslan 0000-0001-8514-9450

Eyüp Erkan 0000-0003-3037-3724

Publication Date June 15, 2025
Submission Date September 10, 2024
Acceptance Date February 21, 2025
Published in Issue Year 2025 Volume: 15 Issue: 2

Cite

APA Bayhan, H. A., Durukan, K. F., Aslan, S., Erkan, E. (2025). Clinical Outcomes of 100% Glistening Free Intraocular Lens Implantation. Bozok Tıp Dergisi, 15(2), 139-147. https://doi.org/10.16919/bozoktip.1547782
AMA Bayhan HA, Durukan KF, Aslan S, Erkan E. Clinical Outcomes of 100% Glistening Free Intraocular Lens Implantation. Bozok Tıp Dergisi. June 2025;15(2):139-147. doi:10.16919/bozoktip.1547782
Chicago Bayhan, Hasan Ali, Koçer Furkan Durukan, Seray Aslan, and Eyüp Erkan. “Clinical Outcomes of 100% Glistening Free Intraocular Lens Implantation”. Bozok Tıp Dergisi 15, no. 2 (June 2025): 139-47. https://doi.org/10.16919/bozoktip.1547782.
EndNote Bayhan HA, Durukan KF, Aslan S, Erkan E (June 1, 2025) Clinical Outcomes of 100% Glistening Free Intraocular Lens Implantation. Bozok Tıp Dergisi 15 2 139–147.
IEEE H. A. Bayhan, K. F. Durukan, S. Aslan, and E. Erkan, “Clinical Outcomes of 100% Glistening Free Intraocular Lens Implantation”, Bozok Tıp Dergisi, vol. 15, no. 2, pp. 139–147, 2025, doi: 10.16919/bozoktip.1547782.
ISNAD Bayhan, Hasan Ali et al. “Clinical Outcomes of 100% Glistening Free Intraocular Lens Implantation”. Bozok Tıp Dergisi 15/2 (June 2025), 139-147. https://doi.org/10.16919/bozoktip.1547782.
JAMA Bayhan HA, Durukan KF, Aslan S, Erkan E. Clinical Outcomes of 100% Glistening Free Intraocular Lens Implantation. Bozok Tıp Dergisi. 2025;15:139–147.
MLA Bayhan, Hasan Ali et al. “Clinical Outcomes of 100% Glistening Free Intraocular Lens Implantation”. Bozok Tıp Dergisi, vol. 15, no. 2, 2025, pp. 139-47, doi:10.16919/bozoktip.1547782.
Vancouver Bayhan HA, Durukan KF, Aslan S, Erkan E. Clinical Outcomes of 100% Glistening Free Intraocular Lens Implantation. Bozok Tıp Dergisi. 2025;15(2):139-47.
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