ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2026
Refraction and anatomical lens position predictability in phacovitrectomy using a 7 mm optic with cutout haptics versus a 6 mm optic with C-loop haptics.
Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo evaluate the refractive and anatomical lens position (ALP) predictability of the Aspira aXA (7 mm optic, cutout haptics) and Sensar One AAB00 IOLs (6 mm optic, C-loop haptics) in phacovitrectomy in a prospective, non-randomized cohort study.
methodsPreoperative biometry, 3-month subjective refraction, and swept-source optical coherence tomography were analyzed. ALP was the distance from the corneal endothelium to the IOL equator. Multivariate mixed-effects analysis was performed.
resultsA total of 102 eyes from 97 patients were included (54 Aspira aXA; 48 Sensar One). The increase in the Aspira aXA lens thickness (LT) per diopter was 3.14 times greater than that of the Sensar One, yet showing a decrease from 1300 to 1100 μm at 23 D. The anterior chamber depth (ACD) increased from preoperatively to postoperatively-to a greater extent for the Sensar One (1.74 vs. 1.50 mm, p <0.0001)-while the axial length (AL) decreased, also to a greater degree for the Sensar One (p <0.05). Holladay 1 achieved the lowest mean absolute error (MAE) (Aspira aXA: 0.24; Sensar One: 0.23 D) and, with the SRK/T and Haigis formulas, the highest accuracy within ± 0.25 D. Preoperative ACD, AL, LT, and K
conclusionsPreoperative ACD and LT reliably predict ALP. The Aspira aXA IOL introduces variability owing to its thickness profile. The endotamponade type exerts a significant influence. Traditional vergence formulas show greater robustness. Formula developments should integrate lens- and surgery-specific information.
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