Posterior capsule opacification and Nd:YAG laser rates with two hydrophobic acrylic single-piece IOLs.
Journal
Eye (London, England)
ISSN: 1476-5454
Titre abrégé: Eye (Lond)
Pays: England
ID NLM: 8703986
Informations de publication
Date de publication:
05 2020
05 2020
Historique:
received:
07
02
2019
accepted:
07
08
2019
revised:
26
07
2019
pubmed:
6
9
2019
medline:
22
6
2021
entrez:
6
9
2019
Statut:
ppublish
Résumé
To evaluate the development of posterior capsule opacification (PCO) and Nd:YAG capsulotomy rates following implantation of two hydrophobic acrylic IOLs. In a randomized, controlled trial, 80 patients with bilateral senile cataract were implanted with the hydrophobic acrylic single-piece intraocular Lenses (IOLs) EyeCee One in one eye and iMics1 in the other. Outcomes of 39 patients (78 eyes) were evaluated after 3 years. Automated Quantification of After-Cataract (AQUA; for PCO occurrence), visual acuity, anterior fibrosis, capsule-optic edge interaction and distance between anterior and posterior capsule IOL surface were analysed. After a mean follow-up of 38 ± 1.95 months, Nd:YAG capsulotomy occurred at a rate of 15.4% and 46.2% in the EyeCee One and iMics1 groups, respectively (p < 0.01). Respective mean PCO scores measured by AQUA were 1.57 ± 1.63 and 2.45 ± 1.44 (p = 0.019). A distinct gap between the anterior capsule and the IOL optic was present in 89% of eyes implanted with EyeCee One and 13% of iMics1 eyes. A gap between the posterior capsule and the posterior surface of the lens was observed in 76% of EyeCee One eyes and 35% of iMics1 eyes. Study findings suggest that PCO and Nd:YAG capsulotomy rates are significantly lower in eyes implanted with the EyeCee One IOL compared to the iMics1 IOL. Optic sharpness and lens material seem to be the decisive factors, while the stepped edge beneath the haptic junction appeared to be ineffective.
Identifiants
pubmed: 31485039
doi: 10.1038/s41433-019-0569-x
pii: 10.1038/s41433-019-0569-x
pmc: PMC7182578
doi:
Substances chimiques
Acrylic Resins
0
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
857-863Références
Leydolt C, Schartmüller D, Schwarzenbacher L, Schranz M, Schriefl S, Menapace R. Comparison of posterior capsule opacification development with 2 single-piece intraocular lens types. J Cataract Refract Surg. 2017;43:774–80. https://doi.org/10.1016/j.jcrs.2017.06.005
doi: 10.1016/j.jcrs.2017.06.005
pubmed: 28732611
Leydolt C, Kriechbaum K, Schriefl S, Pachala M, Menapace R. Posterior capsule opacification and neodymium:YAG rates with 2 single-piece hydrophobic acrylic intraocular lenses: three-year results. J Cataract Refract Surg. 2013;39:1886–92.
doi: 10.1016/j.jcrs.2013.06.021
Nixon DR, Woodcock MG. Pattern of posterior capsule opacification models 2 years postoperatively with 2 single-piece acrylic intraocular lenses. J Cataract Refract Surg. 2010;36:929–34. https://doi.org/10.1016/j.jcrs.2009.12.040
doi: 10.1016/j.jcrs.2009.12.040
pubmed: 20494763
Menapace R, Wirtitsch M, Findl O, Buehl W, Kriechbaum K, Sacu S. Effect of anterior capsule polishing on posterior capsule opacification and neodymium:YAG capsulotomy rates: three-year randomized trial. J Cataract Refract Surg. 2005;31:2067–75. https://doi.org/10.1016/j.jcrs.2005.08.051
doi: 10.1016/j.jcrs.2005.08.051
pubmed: 16412917
Buehl W, Findl O, Menapace R, Georgopoulos M, Rainer G, Wirtitsch M, et al. Reproducibility of standardized retroillumination photography for quantification of posterior capsule opacification. J Cataract Refract Surg. 2002;28:265–70.
doi: 10.1016/S0886-3350(01)01228-7
Findl O, Buehl W, Menapace R, Georgopoulos M, Rainer G, Siegl H, et al. Comparison of 4 methods for quantifying posterior capsule opacification. J Cataract Refract Surg. 2003;29:106–11.
doi: 10.1016/S0886-3350(02)01509-2
Findl O, Buehl W, Siegl H, Prinz A. Removal of reflections in the photographic assessment of PCO by fusion of digital retroillumination images. Invest Ophthalmol Vis Sci. 2003;44:275–80.
doi: 10.1167/iovs.02-0619
Sacu S, Findl O, Menapace R, Buehl W. Influence of optic edge design, optic material, and haptic design on capsular bend configuration. J Cataract Refract Surg. 2005;31:1888–94. https://doi.org/10.1016/j.jcrs.2005.03.072
doi: 10.1016/j.jcrs.2005.03.072
pubmed: 16338556
Buehl W, Findl O, Menapace R, Rainer G, Sacu S, Kiss B, et al. Effect of an acrylic intraocular lens with a sharp posterior optic edge on posterior capsule opacification. J Cataract Refract Surg. 2002;28:1105–11.
doi: 10.1016/S0886-3350(02)01371-8
Buehl W, Findl O, Menapace R, Sacu S, Kriechbaum K, Koeppl C, et al. Long-term effect of optic edge design in an acrylic intraocular lens on posterior capsule opacification. J Cataract Refract Surg. 2005;31:954–61. https://doi.org/10.1016/j.jcrs.2004.09.053
doi: 10.1016/j.jcrs.2004.09.053
pubmed: 15975461
Sacu S, Menapace R, Findl O, Kiss B, Buehl W, Georgopoulos M. Long-term efficacy of adding a sharp posterior optic edge to a three-piece silicone intraocular lens on capsule opacification: five-year results of a randomized study. Am J Ophthalmol. 2005;139:696–703. https://doi.org/10.1016/j.ajo.2004.12.050
doi: 10.1016/j.ajo.2004.12.050
pubmed: 15808167
Nishi O, Nishi K, Mano C, Ichihara M, Honda T. The inhibition of lens epithelial cell migration by a discontinuous capsular bend created by a band-shaped circular loop or a capsule-bending ring. Ophthalmic Surg Lasers. 1998;29:119–25.
pubmed: 9507255
Werner L, Tetz M, Feldmann I, Brücker M. Evaluating and defining the sharpness of intraocular lenses: microedge structure of commercially available square-edged hydrophilic intraocular lenses. J Cataract Refract Surg. 2009;35:556–66. https://doi.org/10.1016/j.jcrs.2008.11.042
doi: 10.1016/j.jcrs.2008.11.042
pubmed: 19251151
Schartmüller D, Schriefl S, Schwarzenbacher L, Leydolt C, Menapace R. Posterior capsule opacification of two hydrophobic, acrylic intraocular lenses: 3 year follow up. 36th Congress of the ESCRS. Vienna, 2018.
Nanavaty MA, Spalton DJ, Boyce J, Brain A, Marshall J. Edge profile of commercially available square-edged intraocular lenses. J Cataract Refract Surg. 2008;34:677–86. https://doi.org/10.1016/j.jcrs.2007.12.024
doi: 10.1016/j.jcrs.2007.12.024
pubmed: 18361993
Nanavaty MA, Zukaite I, Salvage J Edge profile of commercially available square-edged Intraocular lenses: Part 2. J Cataract Refract Surg. 2019;45:847–53
Johansson B. Glistenings, anterior/posterior capsular opacification and incidence of Nd:YAG laser treatments with two aspheric hydrophobic acrylic intraocular lenses - a long-term intra-individual study. Acta Ophthalmol. 2017;95:671–77. https://doi.org/10.1111/aos.13444
doi: 10.1111/aos.13444
pubmed: 28371401
Mylonas G, Georgopoulos M, Prinz A, Vock L, Blum RA, Schmidt-Erfurth U. Influence of a variable overall diameter hydrophilic acrylic sharp-edged single-piece intra-ocular lens on capsule opacification one year after surgery. Curr Eye Res. 2014;39:620–5. https://doi.org/10.3109/02713683.2013.863939
doi: 10.3109/02713683.2013.863939
pubmed: 24400639
Leydolt C, Schriefl S, Stifter E, Haszcz A, Menapace R. Posterior capsule opacification with the iMics1 NY-60 and AcrySof SN60WF 1-piece hydrophobic acrylic intraocular lenses: 3-year results of a randomized trial. Am J Ophthalmol. 2013;156:375–81 e2. https://doi.org/10.1016/j.ajo.2013.04.007
doi: 10.1016/j.ajo.2013.04.007
pubmed: 23677137
Menapace R. Prevention of posterior capsule opacification. New York, NY: Springer; 2005. p. 101–22.
Buehl W, Heinzl H, Mittlboeck M, Findl O. Statistical problems caused by missing data resulting from neodymium:YAG laser capsulotomies in long-term posterior capsule opacification studies: problem identification and possible solutions. J Cataract Refract Surg. 2008;34:268–73. https://doi.org/10.1016/j.jcrs.2007.11.014
doi: 10.1016/j.jcrs.2007.11.014
pubmed: 18242452