ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2025
Association of intraocular lens tilt and decentration with visual acuity using SS-OCT-based analysis.
Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Real-World Visual and Refractive Results of Two Different Presbyopia Correcting Intraocular Lenses.Journal of clinical medicine · 2025Article
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the association of postoperative IOL tilt and decentration and corrected distance visual acuity (CDVA) by performing analyses using IOLMaster700 data and custom-developed software.
settingUniversity Eye Clinic Maastricht, Maastricht University Medical Center, Maastricht, The Netherlands.
methodsThis case series included patients after cataract surgery who underwent SS-OCT scans using the IOLMaster700 with custom-developed software for tilt and decentration analyses. The outcomes based on our custom-developed software were conducted along the pupillary axis (PA) and corneal topographic axis (CTA). Associations between tilt, decentration and CDVA were evaluated.
resultsA total of 168 eyes (168 patients) were analyzed. The maximum observed IOL tilt was 9.54° along the CTA and 3.69° along the PA. Maximum decentration reached 2.22 mm (CTA) and 2.17 mm (PA). Mean tilt was 1.21 ± 0.69° (PA) and 4.87 ± 1.52° (CTA), while mean decentration was 0.27 ± 0.25 mm (PA) and 0.27 ± 0.26 mm (CTA). Regression analyses showed no statistically significant associations between tilt or decentration and CDVA, irrespective of the reference axis used. For tilt along the PA, the regression coefficient (B) was 0.004 (95%CI -0.011, 0.020; P = 0.592), for tilt along the CTA, B was - 0.006 (95%CI -0.013, 0.001; P = 0.082). For decentration, B was 0.012 (95%CI -0.020, 0.044; P = 0.455) and 0.002 (SE = 0.018, 95%CI -0.034, 0.037; P = 0.925) along the PA and CTA, respectively.
conclusionIn this cohort, IOL tilt and decentration were generally small, with no detectable association with CDVA. The findings emphasize that different assessment methods should not be used interchangeably, and potential effects cannot be excluded given the limited sample and range of values.
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