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Journal of Ophthalmology
Volume 2017, Article ID 3517461, 6 pages
Research Article

Tilt, Decentration, and Internal Higher-Order Aberrations of Sutured Posterior-Chamber Intraocular Lenses in Patients with Open Globe Injuries

Xiangjia Zhu,1,2,3 Yinglei Zhang,1,2,3 Wenwen He,1,2,3 Hongfei Ye,1,2,3 Chunhui Jiang,1 and Yi Lu1,2,3

1Department of Ophthalmology, Eye, Ear, Nose, and Throat Hospital of Fudan University, 83 Fenyang Road, Shanghai 200031, China
2Key Laboratory of Myopia, Ministry of Health, 83 Fenyang Road, Shanghai 200031, China
3Shanghai Key Laboratory of Visual Impairment and Restoration of Shanghai, Fudan University, 83 Fenyang Road, Shanghai 200031, China

Correspondence should be addressed to Chunhui Jiang; moc.361@07gnaijhhc and Yi Lu; moc.621@tneeiyul

Received 10 July 2017; Accepted 12 September 2017; Published 29 October 2017

Academic Editor: Antonio Benito

Copyright © 2017 Xiangjia Zhu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To evaluate the tilt, decentration, and internal higher-order aberrations (HOAs) of sutured posterior-chamber intraocular lenses (IOLs) in patients with open globe injuries. Methods. 46 consecutive patients (47 eyes) who underwent transsclerally sutured IOL implantation were enrolled in this prospective cohort study. Nineteen eyes had a history of open globe injury. The tilt and decentration of the IOLs and the visual quality were measured 1 month after surgery. Results. The horizontal tilt and decentration of the IOLs in the open-globe-injury group were significantly higher than those in the control group (both ). In the open-globe-injury group, the horizontal decentration was significantly greater in the limbus-sclera-involved group () than in the only-cornea-involved group (, ). The internal coma, 3rd-order, and total HOA values at pupil sizes of 4 mm () and 6 mm () were significantly higher in the open-globe-injury group than in the controls. Consequently, the optical quality data for the modulation transfer function and the Strehl ratio (all ) were significantly poorer in the open-globe-injury group. Conclusions. Open globe injuries damage the structural integrity of the eyeball, resulting in more-misaligned sutured IOLs and poorer visual quality.