Optical coherence tomography for an in-vivo study of posterior-capsule-opacification types and their influence on the total-pulse energy required for Nd:YAG capsulotomy: a case series
Identifieur interne : 000F77 ( Main/Exploration ); précédent : 000F76; suivant : 000F78Optical coherence tomography for an in-vivo study of posterior-capsule-opacification types and their influence on the total-pulse energy required for Nd:YAG capsulotomy: a case series
Auteurs : Gregor Hawlina [Slovénie] ; Darko Perovšek [Slovénie] ; Brigita Drnovšek-Olup [Slovénie] ; Janez Možina [Slovénie] ; Peter Gregor I [Slovénie]Source :
- BMC Ophthalmology [ 1471-2415 ] ; 2014.
Abstract
Posterior capsule opacification (PCO) is the most common post-operative complication associated with cataract surgery and is mostly treated with Nd:YAG laser capsulotomy. Here, we demonstrate the use of high-resolution spectral-domain optical coherence tomography (OCT) as a technique for PCO analysis. Additionally, we evaluate the influence of PCO types and the distance between the intraocular lens (IOL) and the posterior capsule (PC), i.e., the IOL/PC distance, on the total-pulse energy required for the Nd:YAG laser posterior capsulotomy.
47 eyes with PCO scheduled for the Nd:YAG procedure were examined and divided into four categories: fibrosis, pearl, mixed type and late-postoperative capsular bag distension syndrome. Using custom-made computer software for OCT image analysis, the IOL/PC distances in two dimensions were measured. The IOL/PC distances were compared with those of a control group of 15 eyes without PCO. The influence of the different PCO types and the IOL/PC distance on the total-pulse energy required for the Nd:YAG procedure was analyzed.
The total-pulse energy required for a laser capsulotomy differs significantly between PCO types (
Our study indicates that the PCO types and the IOL/PC distance influence the total-pulse energy required for Nd:YAG capsulotomy. The presented OCT method has the potential to become an additional tool for PCO characterization. Our results are important for a better understanding of the photodisruptive mechanisms in Nd:YAG capsulotomy.
Url:
DOI: 10.1186/1471-2415-14-131
PubMed: 25403826
PubMed Central: 4273457
Affiliations:
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Optical coherence tomography for an in-vivo study of posterior-capsule-opacification types and their influence on the total-pulse energy required for Nd:YAG capsulotomy: a case series</title>
<author><name sortKey="Hawlina, Gregor" sort="Hawlina, Gregor" uniqKey="Hawlina G" first="Gregor" last="Hawlina">Gregor Hawlina</name>
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<author><name sortKey="Perovsek, Darko" sort="Perovsek, Darko" uniqKey="Perovsek D" first="Darko" last="Perovšek">Darko Perovšek</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Posterior capsule opacification (PCO) is the most common post-operative complication associated with cataract surgery and is mostly treated with Nd:YAG laser capsulotomy. Here, we demonstrate the use of high-resolution spectral-domain optical coherence tomography (OCT) as a technique for PCO analysis. Additionally, we evaluate the influence of PCO types and the distance between the intraocular lens (IOL) and the posterior capsule (PC), i.e., the IOL/PC distance, on the total-pulse energy required for the Nd:YAG laser posterior capsulotomy.</p>
</sec>
<sec><title>Methods</title>
<p>47 eyes with PCO scheduled for the Nd:YAG procedure were examined and divided into four categories: fibrosis, pearl, mixed type and late-postoperative capsular bag distension syndrome. Using custom-made computer software for OCT image analysis, the IOL/PC distances in two dimensions were measured. The IOL/PC distances were compared with those of a control group of 15 eyes without PCO. The influence of the different PCO types and the IOL/PC distance on the total-pulse energy required for the Nd:YAG procedure was analyzed.</p>
</sec>
<sec><title>Results</title>
<p>The total-pulse energy required for a laser capsulotomy differs significantly between PCO types (<italic>p</italic>
= 0.005, Kruskal-Wallis test). The highest energy was required for the fibrosis PCO type, followed by mixed, pearl and late-postoperative capsular bag distension syndrome. The IOL/PC distance also significantly influenced the total-pulse energy required for laser capsulotomy (<italic>p</italic>
= 0.028, linear regression). Lower total-pulse energy was expected for a larger IOL/PC distance.</p>
</sec>
<sec><title>Conclusions</title>
<p>Our study indicates that the PCO types and the IOL/PC distance influence the total-pulse energy required for Nd:YAG capsulotomy. The presented OCT method has the potential to become an additional tool for PCO characterization. Our results are important for a better understanding of the photodisruptive mechanisms in Nd:YAG capsulotomy.</p>
</sec>
</div>
</front>
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</TEI>
<affiliations><list><country><li>Slovénie</li>
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</list>
<tree><country name="Slovénie"><noRegion><name sortKey="Hawlina, Gregor" sort="Hawlina, Gregor" uniqKey="Hawlina G" first="Gregor" last="Hawlina">Gregor Hawlina</name>
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<name sortKey="Mozina, Janez" sort="Mozina, Janez" uniqKey="Mozina J" first="Janez" last="Možina">Janez Možina</name>
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</affiliations>
</record>
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