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Updated: Aug 5, 2026
04:59
Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
Postoperative Intraocular Lens Position and Refractive Stability in Cataract Surgery: Influence of Target Refraction
Freja Bagatin1, Renata Iveković1,2, Ivana Barbić Radman1
1Department of Ophthalmology, Sestre Milosrdnice University Hospital Centre, 10000 Zagreb, Croatia.
Medicina (Kaunas, Lithuania)
|July 28, 2026
Summary
Achieving target refraction post-cataract surgery is key for patient satisfaction. This study found all three monofocal intraocular lenses (IOLs) were stable, but IOL design slightly impacts refractive predictability.
Area of Science:
- Ophthalmology
- Biomedical Engineering
Background:
- Accurate postoperative refractive outcomes are vital for visual quality and patient satisfaction after cataract surgery.
- Residual refractive errors can negatively impact the patient experience.
Purpose of the Study:
- To evaluate the relationship between preoperative target refraction, intraocular lens (IOL) shift, and refractive stability.
- To compare the refractive predictability of three different monofocal IOLs.
Main Methods:
- Prospective observational study of 94 eyes undergoing cataract surgery with monofocal IOL implantation (PCB00, RayOne HA, Akreos Adapt).
- Preoperative biometry included axial length, anterior chamber depth, central corneal thickness, and white-to-white distance.
- IOL position and refraction were measured at 1 week, 1 month, and 6 months postoperatively; patient satisfaction was also assessed.
Main Results:
- All three IOLs demonstrated stable in-the-bag positioning with minimal longitudinal shift over 6 months (p > 0.05).
- Postoperative refractive outcomes were comparable, though RayOne HA showed a trend towards myopic deviation, while PCB00 and Akreos Adapt stayed closer to emmetropia.
- Statistically significant intergroup differences in deviation from target refraction were observed at 1 month (p = 0.004) and 6 months (p = 0.045).
Conclusions:
- All evaluated monofocal IOLs offer stable positioning and good visual outcomes.
- Subtle differences in IOL design may influence refractive predictability, suggesting potential benefits from tailoring target refraction to specific IOL types.
- Optimizing target refraction based on IOL choice could enhance the achievement of emmetropia and improve patient satisfaction.
Keywords:
IOL stabilitycataract surgerymonofocal intraocular lensespostoperative refractive shifttarget refractionMore Related Videos
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