DECEMBER 2021 | EYEWORLD | 19
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DR. NATHANIEL RUTTIG, MD
Eye M.D. of Niceville — Solo Eye Docs Group
and the 3-piece IOL, accounting for uncertainty
due to attrition in long-term follow-up using
intention-to-treat analysis.
There were no instances of UGH in either of
the two groups. The 3-piece IOL group had one
case of mild iritis with history of chronic ocular
inflammation prior to cataract surgery, one case
of redislocation with a broken haptic discovered
intraoperatively during repositioning, and one
case of corneal decompensation. No serious
complications occurred. Clinical decentration
was noted in 2 eyes in the 1-piece group and 5
eyes in the 3-piece group, none of which were
found to be symptomatic.
Postop mean CDVA at final observation was
similar between the 1-piece IOL at 0.36 log-
MAR (0.14 to 0.59) and the 3-piece IOL at 0.29
logMAR (0.12 to 0.46) (P=0.58). The mean
change in spherical equivalent at final observa-
tion was –0.08 D (95% CI, –0.93 to 0.77) in the
1-piece group and –0.98 (–1.73 to –0.23) in the
3-piece IOL group (P=0.11).
Discussion
Existing literature raises safety concerns regard-
ing a 1-piece IOL for repositioning in cases of
late in-the-bag IOL dislocation, primarily due
