Posterior capsule opacification and capsular bag performance of a microincision intraocular lens
| Autor: | Yutaro Nishi, Vinod Gangwani, Nino Hirnschall, Alja Crnej, Oliver Findl, John Koshy, Vincenzo Maurino |
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| Rok vydání: | 2011 |
| Předmět: |
Male
Microsurgery medicine.medical_specialty Light Pseudophakia genetic structures Anterior Chamber medicine.medical_treatment Visual Acuity Intraocular lens Lasers Solid-State Prosthesis Design Refraction Ocular Laser interferometry Double-Blind Method Lens Implantation Intraocular medicine Humans Posterior capsule opacification Aged Aged 80 and over Lenses Intraocular Phacoemulsification business.industry Follow up studies Capsule Opacification Middle Aged Microincision cataract surgery Cataract surgery eye diseases Sensory Systems Surgery Ophthalmology Interferometry Capsular bag Posterior Capsule of the Lens Female Laser Therapy sense organs business Partial coherence Follow-Up Studies |
| Zdroj: | Journal of Cataract and Refractive Surgery. 37:1988-1992 |
| ISSN: | 0886-3350 |
| Popis: | Purpose To assess the axial stability and posterior capsule opacification (PCO)–inhibiting efficacy of a microincision hydrophilic intraocular lens (IOL) (Idea 613 XC) and a standard hydrophobic open-loop acrylic IOL (Acrysof SA60AT). Setting Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom. Design Clinical trial. Methods Patients with bilateral cataract received a microincision cataract surgery (MICS) IOL in 1 eye and a small-incision cataract surgery (SICS) IOL in the contralateral eye. Follow-up examinations were performed immediately after surgery and postoperatively at 1 week and 3 and 24 months. Posterior capsule opacification was assessed using retroillumination photography. Anterior chamber depth (ACD) was measured using partial coherence laser interferometry, and IOL tilt and decentration were measured using a Purkinje meter. Results Seventy eyes (35 patients) were enrolled. The mean ACD at 3 months was 4.91 mm ± 0.26 (SD) in the MICS group and 4.60 ± 0.23 mm in the SICS group. The anterior IOL shift over the first 3 months was slightly smaller with the MICS IOL (81 μm) than with the SICS IOL (254 μm). The mean ACD was 0.377 ± 178 μm deeper with the MICS IOL ( P t test). Two years postoperatively, the amount of regeneratory PCO was higher with the MICS IOL than with the SICS IOL (image analysis software score 2.6 versus 1.9; P =.005). Conclusions Two years after surgery, the PCO rate was slightly higher with the MICS IOL. The 2 IOLs had similar performance in terms of axial stability, decentration, and tilt. Financial Disclosure No author has a financial or proprietary interest in any material or method mentioned. Additional disclosures are found in the footnotes. |
| Databáze: | OpenAIRE |
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