Evidence map›Paper›PMID 39153117›Full record

ArticleOphthalmology and therapy2024

Incorrectly Focused Neodymium:Yttrium-Aluminum-Garnet (Nd:YAG) Laser Beam Leads to Massive Destructive Effects in Small-Aperture (Pinhole) Intraocular Lenses.

Andreas F Borkenstein, Tatiana K Kormilina, Harald Fitzek, Johannes Rattenberger, Gerald Kothleitner, Fabio E Machado Charry, Eva-Maria Borkenstein

Abstract read
In one paragraph

Article in Ophthalmology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Andreas F BorkensteinBorkenstein and Borkenstein Private Practice, Privatklinik Der Kreuzschwestern Graz, Kreuzgasse 35, 8010, Graz, Austria. crustalith@gmx.at.ORCID http://orcid.org/0000-0001-6341-9069
Tatiana K KormilinaGraz Centre for Electron Microscopy (ZFE), Steyrergasse 17, 8010, Graz, Austria.
Harald FitzekGraz Centre for Electron Microscopy (ZFE), Steyrergasse 17, 8010, Graz, Austria.
Johannes RattenbergerGraz Centre for Electron Microscopy (ZFE), Steyrergasse 17, 8010, Graz, Austria.
Gerald KothleitnerGraz Centre for Electron Microscopy (ZFE), Steyrergasse 17, 8010, Graz, Austria.
Fabio E Machado CharryInstitute of Solid State Physics, University of Technology Graz, Petersgasse 16/2, 8010, Graz, Austria.
Eva-Maria BorkensteinBorkenstein and Borkenstein Private Practice, Privatklinik Der Kreuzschwestern Graz, Kreuzgasse 35, 8010, Graz, Austria.

Funding

Österreichische Forschungsförderungsgesellschaft 895429
6 · The paper itself

Abstract

introductionPinhole intraocular lenses (IOLs) were developed to improve reading by compensating for loss of accommodative function. The IC-8

methodsIn this experimental study, yttrium-aluminum-garnet (YAG) pits were purposefully created. Defects were analyzed and compared between the periphery of the ring in the clear area of the hydrophobic acrylic lens and at the carbon black (CB)-polyvinylidene fluoride (PVDF) filtering component (FilterRing™) of the pinhole lens. All defects were made using identical settings/energy levels (2.6 mJ). The damage induced to the IC-8

resultsYAG defects in the carbon black filter ring were much more severe than those in the clear zone due to the high absorption of the carbon black. Massive defects and destruction of the lens with tearing out of fragments and particles were observed. The missing volume calculated from the micro-CT reconstruction was 0.266 mm

conclusionBased on the results, we highly recommend using the lowest possible energy levels, posterior offset setting, and circular pattern for maximum safety when performing laser capsulotomy with pinhole implants. Care should be taken to avoid creating irreversible iatrogenic defects that may affect overall quality. The safest area for performing capsulotomy seems to be the periphery of the ring segment. Video available for this article.

Indexed as

CapsulotomyDamage in intraocular lensHydrophobic acrylicNd:YAG laserPinhole intraocular lensPresbyopia correcting lensSmall apertureYAG pits

Identifiers

PMID39153117
PMCPMC11408416

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.