Posterior capsule opacification following 20- and 23-gauge phacovitrectomy (posterior capsule opacification following phacovitrectomy)
Identifieur interne : 001614 ( Pmc/Checkpoint ); précédent : 001613; suivant : 001615Posterior capsule opacification following 20- and 23-gauge phacovitrectomy (posterior capsule opacification following phacovitrectomy)
Auteurs : T. Iwase [États-Unis, Japon] ; B C Oveson [États-Unis] ; Y. Nishi [Japon]Source :
- Eye [ 0950-222X ] ; 2012.
Abstract
To compare the development of posterior capsule opacification (PCO) for idiopathic epi-retinal membrane cases between 20- and 23-gauge phacovitrectomy.
Cataract surgery of phacoemulsification with the SA60AT implantation and 20- or 23-gauge vitrectomy was performed for 20 patients in both groups. Cataract surgery alone was performed for 50 patients as the control. The PCO density values were measured using Scheimpflug video photography at 1 week, 1, 3, 6, 12, 18, and 24 months after surgery. The number of eyes that required Nd:YAG laser capsulotomy was also examined.
The mean PCO value in the 20-gauge phacovitrectomy group increased significantly with time (
PCO rate in eyes with the 23-gauge phacovitrectomy was lower than in those with the 20-gauge phacovitrectomy, and PCO rate even in the 23-gauge phacovitrectomy was higher than in those with cataract surgery.
Url:
DOI: 10.1038/eye.2012.193
PubMed: 23018664
PubMed Central: 3496106
Affiliations:
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<author><name sortKey="Iwase, T" sort="Iwase, T" uniqKey="Iwase T" first="T" last="Iwase">T. Iwase</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Ophthalmology, Wilmer Eye Institute, The Johns Hopkins School of Medicine</institution>
, Baltimore, MD,<country>USA</country>
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<country xml:lang="fr">États-Unis</country>
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<affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Ophthalmology, Toyama Prefectural Central Hospital</institution>
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<country xml:lang="fr">Japon</country>
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<author><name sortKey="Oveson, B C" sort="Oveson, B C" uniqKey="Oveson B" first="B C" last="Oveson">B C Oveson</name>
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<author><name sortKey="Nishi, Y" sort="Nishi, Y" uniqKey="Nishi Y" first="Y" last="Nishi">Y. Nishi</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Posterior capsule opacification following 20- and 23-gauge phacovitrectomy (posterior capsule opacification following phacovitrectomy)</title>
<author><name sortKey="Iwase, T" sort="Iwase, T" uniqKey="Iwase T" first="T" last="Iwase">T. Iwase</name>
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<country xml:lang="fr">États-Unis</country>
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<affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Ophthalmology, Toyama Prefectural Central Hospital</institution>
, Toyama,<country>Japan</country>
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<country xml:lang="fr">Japon</country>
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<author><name sortKey="Oveson, B C" sort="Oveson, B C" uniqKey="Oveson B" first="B C" last="Oveson">B C Oveson</name>
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<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author><name sortKey="Nishi, Y" sort="Nishi, Y" uniqKey="Nishi Y" first="Y" last="Nishi">Y. Nishi</name>
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, Tokyo,<country>Japan</country>
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<country xml:lang="fr">Japon</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<series><title level="j">Eye</title>
<idno type="ISSN">0950-222X</idno>
<idno type="eISSN">1476-5454</idno>
<imprint><date when="2012">2012</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>To compare the development of posterior capsule opacification (PCO) for idiopathic epi-retinal membrane cases between 20- and 23-gauge phacovitrectomy.</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>Cataract surgery of phacoemulsification with the SA60AT implantation and 20- or 23-gauge vitrectomy was performed for 20 patients in both groups. Cataract surgery alone was performed for 50 patients as the control. The PCO density values were measured using Scheimpflug video photography at 1 week, 1, 3, 6, 12, 18, and 24 months after surgery. The number of eyes that required Nd:YAG laser capsulotomy was also examined.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>The mean PCO value in the 20-gauge phacovitrectomy group increased significantly with time (<italic>P</italic>
<0.001), whereas those in the 23-gauge phacovitrectomy group and the cataract surgery group did not show any significant change. Furthermore, the PCO value in the 20-gauge phacovitrectomy group was significantly greater than that in the 23-gauge phacovitrectomy group at 6, 12, 18 (<italic>P</italic>
<0.05), and 24 months (<italic>P</italic>
<0.01) after surgery. The PCO value in the 23-gauge phacovitrectomy group was significantly greater than that in the cataract surgery group 24 months after surgery (<italic>P</italic>
<0.05). The rate of capsulotomy in the 20-gauge phacovitrectomy group was significantly higher than that in the cataract surgery group (<italic>P</italic>
=0.007), whereas there was no significant difference between the 23-gauge phacovitrectomy group and the cataract surgery group.</p>
</sec>
<sec sec-type="conclusions"><title>Conclusion</title>
<p>PCO rate in eyes with the 23-gauge phacovitrectomy was lower than in those with the 20-gauge phacovitrectomy, and PCO rate even in the 23-gauge phacovitrectomy was higher than in those with cataract surgery.</p>
</sec>
</div>
</front>
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<pmc article-type="other"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Eye (Lond)</journal-id>
<journal-id journal-id-type="iso-abbrev">Eye (Lond)</journal-id>
<journal-title-group><journal-title>Eye</journal-title>
</journal-title-group>
<issn pub-type="ppub">0950-222X</issn>
<issn pub-type="epub">1476-5454</issn>
<publisher><publisher-name>Nature Publishing Group</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23018664</article-id>
<article-id pub-id-type="pmc">3496106</article-id>
<article-id pub-id-type="pii">eye2012193</article-id>
<article-id pub-id-type="doi">10.1038/eye.2012.193</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Clinical Study</subject>
</subj-group>
</article-categories>
<title-group><article-title>Posterior capsule opacification following 20- and 23-gauge phacovitrectomy (posterior capsule opacification following phacovitrectomy)</article-title>
<alt-title alt-title-type="running">Posterior capsule opacification</alt-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Iwase</surname>
<given-names>T</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="aff" rid="aff2">2</xref>
<xref ref-type="corresp" rid="caf1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oveson</surname>
<given-names>B C</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nishi</surname>
<given-names>Y</given-names>
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<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
<aff id="aff1"><label>1</label>
<institution>Department of Ophthalmology, Wilmer Eye Institute, The Johns Hopkins School of Medicine</institution>
, Baltimore, MD,<country>USA</country>
</aff>
<aff id="aff2"><label>2</label>
<institution>Department of Ophthalmology, Toyama Prefectural Central Hospital</institution>
, Toyama,<country>Japan</country>
</aff>
<aff id="aff3"><label>3</label>
<institution>Department of Ophthalmology, Tokyo University Hospital</institution>
, Tokyo,<country>Japan</country>
</aff>
</contrib-group>
<author-notes><corresp id="caf1"><label>*</label>
<institution>Department of Ophthalmology, Wilmer Eye Institute, The Johns Hopkins School of Medicine</institution>
, 815 Maumenee, 600N. Wolfe Street, Baltimore, MD 21287-9277, <country>USA</country>
. Tel: +410 955 4103; Fax: +410 502 5382; E-mail: <email>TsuyoshiIwase@aol.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>11</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub"><day>28</day>
<month>09</month>
<year>2012</year>
</pub-date>
<volume>26</volume>
<issue>11</issue>
<fpage>1459</fpage>
<lpage>1464</lpage>
<history><date date-type="received"><day>07</day>
<month>03</month>
<year>2012</year>
</date>
<date date-type="accepted"><day>16</day>
<month>08</month>
<year>2012</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2012 Royal College of Ophthalmologists</copyright-statement>
<copyright-year>2012</copyright-year>
<copyright-holder>Royal College of Ophthalmologists</copyright-holder>
</permissions>
<abstract><sec><title>Purpose</title>
<p>To compare the development of posterior capsule opacification (PCO) for idiopathic epi-retinal membrane cases between 20- and 23-gauge phacovitrectomy.</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>Cataract surgery of phacoemulsification with the SA60AT implantation and 20- or 23-gauge vitrectomy was performed for 20 patients in both groups. Cataract surgery alone was performed for 50 patients as the control. The PCO density values were measured using Scheimpflug video photography at 1 week, 1, 3, 6, 12, 18, and 24 months after surgery. The number of eyes that required Nd:YAG laser capsulotomy was also examined.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>The mean PCO value in the 20-gauge phacovitrectomy group increased significantly with time (<italic>P</italic>
<0.001), whereas those in the 23-gauge phacovitrectomy group and the cataract surgery group did not show any significant change. Furthermore, the PCO value in the 20-gauge phacovitrectomy group was significantly greater than that in the 23-gauge phacovitrectomy group at 6, 12, 18 (<italic>P</italic>
<0.05), and 24 months (<italic>P</italic>
<0.01) after surgery. The PCO value in the 23-gauge phacovitrectomy group was significantly greater than that in the cataract surgery group 24 months after surgery (<italic>P</italic>
<0.05). The rate of capsulotomy in the 20-gauge phacovitrectomy group was significantly higher than that in the cataract surgery group (<italic>P</italic>
=0.007), whereas there was no significant difference between the 23-gauge phacovitrectomy group and the cataract surgery group.</p>
</sec>
<sec sec-type="conclusions"><title>Conclusion</title>
<p>PCO rate in eyes with the 23-gauge phacovitrectomy was lower than in those with the 20-gauge phacovitrectomy, and PCO rate even in the 23-gauge phacovitrectomy was higher than in those with cataract surgery.</p>
</sec>
</abstract>
<kwd-group><kwd>posterior capsule opacification</kwd>
<kwd>phacovitrectomy</kwd>
<kwd>cataract surgery</kwd>
<kwd>IOL</kwd>
<kwd>23-gauge vitrectomy</kwd>
<kwd>20-gauge vitrectomy</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
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<li>États-Unis</li>
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