HapticV1, Main, Exploration, bibRecord, 005A19

Fellow-eye comparison of posterior capsule opacification rates after implantation of 1CU accommodating and AcrySof MA30 monofocal intraocular lenses

Identifieur interne : 005A19 ( Main/Exploration ); précédent : 005A18; suivant : 005A20

Fellow-eye comparison of posterior capsule opacification rates after implantation of 1CU accommodating and AcrySof MA30 monofocal intraocular lenses

Auteurs : Joanne Hancox [Royaume-Uni] ; David Spalton [Royaume-Uni] ; Catherine Heatley [Royaume-Uni] ; Hari Jayaram [Royaume-Uni] ; Jennifer Yip [Royaume-Uni] ; James Boyce [Royaume-Uni] ; John Marshall [Royaume-Uni]

Source :

Journal of cataract and refractive surgery [ 0886-3350 ] ; 2007.

RBID : Pascal:07-0165996

Descripteurs français

Pascal (Inist)
- Oeil adelphe, Etude comparative, Postérieur, Capsule, Opacification, Taux, Implantation, Lentille intraoculaire, Chirurgie, Ophtalmologie, Traitement.
Wicri :
- topic : Chirurgie.

English descriptors

KwdEn :
- Accommodation, Ocular, Acrylic Resins, Aged, Capsule, Cataract (etiology), Comparative study, Fellow eye, Female, Humans, Implantation, Intraocular lens, Laser Therapy (statistics & numerical data), Lens Capsule, Crystalline (pathology), Lens Capsule, Crystalline (surgery), Lens Implantation, Intraocular (adverse effects), Lenses, Intraocular, Male, Opacification, Ophthalmology, Posterior, Postoperative Complications, Prospective Studies, Prosthesis Design, Rate, Surgery, Treatment.
MESH :
- chemical : Acrylic Resins.
- adverse effects : Lens Implantation, Intraocular.
- etiology : Cataract.
- pathology : Lens Capsule, Crystalline.
- statistics & numerical data : Laser Therapy.
- surgery : Lens Capsule, Crystalline.
- Accommodation, Ocular, Aged, Female, Humans, Lenses, Intraocular, Male, Postoperative Complications, Prospective Studies, Prosthesis Design.

Abstract

PURPOSE: To measure posterior capsule opacification (PCO) and neodymium:YAG (Nd:YAG) capsulotomy rates between the AcrySof MA30 intraocular lens (10L) (Alcon) and the 1CU 10L (Human-Optics) in a fellow-eye comparison. SETTING: Ophthalmology Department, St. Thomas' Hospital, London, United Kingdom. METHODS: Thirty patients who had bilateral cataract surgery with a 1CU IOL prospectively randomly allocated to 1 eye and an AcrySof MA30 monofocal 10L to the other eye were examined. Best corrected distance visual acuity was recorded using the Early Treatment Diabetic Retinopathy Study logMAR chart. Digital retroillumination images of the posterior capsule were taken with the pupil dilated and analyzed with POCO software. RESULTS: Eyes with the 1 CU 10L had significantly higher PCO rates than eyes with the MA30 10L at all time points. By 2 years after surgery, 50% of eyes with a 1CU 10L had required Nd:YAG capsulotomy compared with no eyes with an MA30 10L. There was no significant difference in visual acuity at any time point when post Nd:YAG capsulotomy was taken in to account. CONCLUSIONS: The 1 CU 10L has 4 broad optic-haptic junctions where the square-edged barrier is breached; this appeared to allow passage of lens epithelial cells, leading to an increase in PCO. However, the increased PCO cannot be attributed to this alone as the 1 CU is hydrophilic, a factor known to be associated with higher PCO rates.

Affiliations:

Le document en format XML

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<term>Acrylic Resins</term>
<term>Aged</term>
<term>Capsule</term>
<term>Cataract (etiology)</term>
<term>Comparative study</term>
<term>Fellow eye</term>
<term>Female</term>
<term>Humans</term>
<term>Implantation</term>
<term>Intraocular lens</term>
<term>Laser Therapy (statistics & numerical data)</term>
<term>Lens Capsule, Crystalline (pathology)</term>
<term>Lens Capsule, Crystalline (surgery)</term>
<term>Lens Implantation, Intraocular (adverse effects)</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Opacification</term>
<term>Ophthalmology</term>
<term>Posterior</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Prosthesis Design</term>
<term>Rate</term>
<term>Surgery</term>
<term>Treatment</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Acrylic Resins</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lens Implantation, Intraocular</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cataract</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lens Capsule, Crystalline</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Laser Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lens Capsule, Crystalline</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Accommodation, Ocular</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Prosthesis Design</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Oeil adelphe</term>
<term>Etude comparative</term>
<term>Postérieur</term>
<term>Capsule</term>
<term>Opacification</term>
<term>Taux</term>
<term>Implantation</term>
<term>Lentille intraoculaire</term>
<term>Chirurgie</term>
<term>Ophtalmologie</term>
<term>Traitement</term>
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<front><div type="abstract" xml:lang="en">PURPOSE: To measure posterior capsule opacification (PCO) and neodymium:YAG (Nd:YAG) capsulotomy rates between the AcrySof MA30 intraocular lens (10L) (Alcon) and the 1CU 10L (Human-Optics) in a fellow-eye comparison. SETTING: Ophthalmology Department, St. Thomas' Hospital, London, United Kingdom. METHODS: Thirty patients who had bilateral cataract surgery with a 1CU IOL prospectively randomly allocated to 1 eye and an AcrySof MA30 monofocal 10L to the other eye were examined. Best corrected distance visual acuity was recorded using the Early Treatment Diabetic Retinopathy Study logMAR chart. Digital retroillumination images of the posterior capsule were taken with the pupil dilated and analyzed with POCO software. RESULTS: Eyes with the 1 CU 10L had significantly higher PCO rates than eyes with the MA30 10L at all time points. By 2 years after surgery, 50% of eyes with a 1CU 10L had required Nd:YAG capsulotomy compared with no eyes with an MA30 10L. There was no significant difference in visual acuity at any time point when post Nd:YAG capsulotomy was taken in to account. CONCLUSIONS: The 1 CU 10L has 4 broad optic-haptic junctions where the square-edged barrier is breached; this appeared to allow passage of lens epithelial cells, leading to an increase in PCO. However, the increased PCO cannot be attributed to this alone as the 1 CU is hydrophilic, a factor known to be associated with higher PCO rates.</div>
</front>
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<affiliations><list><country><li>Royaume-Uni</li>
</country>
<region><li>Angleterre</li>
<li>Grand Londres</li>
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<tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Hancox, Joanne" sort="Hancox, Joanne" uniqKey="Hancox J" first="Joanne" last="Hancox">Joanne Hancox</name>
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<name sortKey="Boyce, James" sort="Boyce, James" uniqKey="Boyce J" first="James" last="Boyce">James Boyce</name>
<name sortKey="Heatley, Catherine" sort="Heatley, Catherine" uniqKey="Heatley C" first="Catherine" last="Heatley">Catherine Heatley</name>
<name sortKey="Jayaram, Hari" sort="Jayaram, Hari" uniqKey="Jayaram H" first="Hari" last="Jayaram">Hari Jayaram</name>
<name sortKey="Marshall, John" sort="Marshall, John" uniqKey="Marshall J" first="John" last="Marshall">John Marshall</name>
<name sortKey="Spalton, David" sort="Spalton, David" uniqKey="Spalton D" first="David" last="Spalton">David Spalton</name>
<name sortKey="Yip, Jennifer" sort="Yip, Jennifer" uniqKey="Yip J" first="Jennifer" last="Yip">Jennifer Yip</name>
</country>
</tree>
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Fellow-eye comparison of posterior capsule opacification rates after implantation of 1CU accommodating and AcrySof MA30 monofocal intraocular lenses

Fellow-eye comparison of posterior capsule opacification rates after implantation of 1CU accommodating and AcrySof MA30 monofocal intraocular lenses

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Descripteurs français

English descriptors

Abstract

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