{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:30:56Z","timestamp":1786649456701,"version":"build-2736575974"},"reference-count":37,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"\n Purpose:<\/jats:title>\n To evaluate the tilt and decentration of intraocular lenses (IOLs) in eyes that underwent phacovitrectomy for macula-off rhegmatogenous retinal detachment (RRD) repair.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n In this retrospective cohort study, 63 patients with macula-off RRD who underwent phacovitrectomy were enrolled and divided into a primary implantation group (group A) and a delayed implantation group (group B) according to the time of IOL implantation. Routine ocular examinations, including optometry, were performed, and the IOL tilt and decentration were measured. Postoperative refractive prediction error and IOL tilt and decentration were compared between the two groups, and the relevant factors of IOL positions were analyzed.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The mean spherical refractive prediction error (MSE) was \u2212 0.53 \u00b1 0.39 D in group A and \u2212 0.09 \u00b1 0.55 in group B. The mean absolute spherical refractive prediction error (MASE) was 0.61 \u00b1 0.23 D in group A and 0.50 \u00b1 0.22 D in group B. The difference in MSE (\n t<\/jats:italic>\n = \u22123.623,\n P<\/jats:italic>\n < 0.05) but not in MASE (t = 1.866,\n P<\/jats:italic>\n = 0.067) between the two groups was significant. The mean IOL tilt and mean decentration were 8.54\u00b0 \u00b13.65\u00b0 and 0.55 \u00b1 0.18 mm in group A and 10.62\u00b0 \u00b13.29\u00b0 and 0.66 \u00b1 0.14 mm, respectively, in Group B. Differences in tilt (\n t<\/jats:italic>\n = \u22122.373,\n P<\/jats:italic>\n < 0.05) and decentration (\n t<\/jats:italic>\n = \u22122.698,\n P<\/jats:italic>\n < 0.05) between the two groups were both significant. In group B, the mean time interval between phacovitrectomy and IOL implantation (T\n V-I<\/jats:sub>\n ) was 25.2 \u00b1 6.9 weeks, and the absolute values of both IOL tilt and decentration were positively correlated with T\n V-I<\/jats:sub>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n In phacovitrectomy for macula-off RRD repair, primary IOL implantation leads to a postoperative myopic shift, while delayed IOL implantation may cause greater IOL tilt and decentration.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ijo.ijo_3192_23","type":"journal-article","created":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T12:09:40Z","timestamp":1720699780000},"page":"S788-S794","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Intraocular lens tilt and decentration after primary and delayed implantation in phacovitrectomy for macula-off rhegmatogenous retinal detachment repair"],"prefix":"10.4103","volume":"72","author":[{"given":"Qingchen","family":"Li","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Shanghai Aier Eye Hospital, Shanghai, China"},{"name":"Department of Ophthalmology, The Second Xiangya Hospital of Central South University, Changsha, Hunan Province, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhou","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Shanghai Jiading District Central Hospital, Shanghai University of Medicine and Health Sciences, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 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