The Prognostic Factors that Influence in Near Vision after Accommodative Intraocular Lens Implantation

PURPOSE: To evaluate the prognostic factors to determine the uncorrected near visual acuity of patients who undergone routine cataract surgery and WIOL-CF(R) (Gelmed international, Kamenne Zehrovice, Czech Republic) accommodative intraocular lens implantation. METHODS: This study evaluated 46 eyes of 27 patients who had undergone routine cataract surgery and WIOL-CF(R) accommodative IOL implantation. We checked visual acuities at near and distant before surgery. And we also checked age and gender of patients and manifest refraction, corneal astigmatism and axial length of eyes at that time. We analyzed association between these factors and uncorrected near visual acuity at postoperative 6 and 12 month. RESULTS: Univariate linear regression analyses between uncorrected near visual acuity and preoperative patients characteristics suggested that the age of patients was the only statistically significant independent variable on uncorrected near visual acuity at postoperative 6 (p < 0.001) and 12 (p < 0.001) month. Multiple regression analyses also revealed the same results (p = 0.021 at postoperative 6 month and p = 0.042 at postoperative 12 month). CONCLUSIONS: This study suggest that the age is the one of the most important prognostic factors of postoperative uncorrected near visual acuity after WIOL-CF(R) accommodative intraocular lens implantation.

Clinical Features of Ocular Toxoplasmosis in Korean Patients

We report here the records of 10 consecutive Korean patients (10 eyes) with ocular toxoplasmosis which showed the typical clinical manifestations with seropositivity for Toxoplasma gondii specific IgG antibodies by micro-ELISA between 2006 and 2010. Nine patients were males and 1 was female; their age was 50.5+/-13.8 years. The most common accompanying signs were vitritis (100%), anterior uveitis (70%), and scattered white deposit (80%). Pre-existing retinochoroidal scar was found in 1 (10%) patient. All patients received antiparasitic chemotherapy and systemic corticosteroid treatment, which resolved the presenting attack and recovered the visual acuity better than initial one in 9 patients and worse in 1. Optic atrophy, cataract, and retinal neovascularization were observed during the follow-up period and recurrence was detected in 3 eyes (30%) 6 to 20 months after the initial attack. In Korea, although rarely detected and reported, ocular toxoplasmosis needs more attention in clinical field of retinal diseases.