Incidence and risk factors of Nd:YAG capsulotomy after phacoemulsification in non-diabetic and diabetic patients.
Identifieur interne : 000972 ( Ncbi/Merge ); précédent : 000971; suivant : 000973Incidence and risk factors of Nd:YAG capsulotomy after phacoemulsification in non-diabetic and diabetic patients.
Auteurs : Mostafa A. Elgohary [Égypte] ; Jonathan G. DowlerSource :
- Clinical & experimental ophthalmology [ 1442-6404 ] ; 2006.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Cataract (epidemiology), Cataract (etiology), Diabetes Complications, Female, Humans, Incidence, Laser Therapy (statistics & numerical data), Lens Capsule, Crystalline (pathology), Lens Capsule, Crystalline (surgery), Lens Implantation, Intraocular, Male, Middle Aged, Phacoemulsification, Postoperative Complications (epidemiology), Postoperative Complications (etiology), Proportional Hazards Models, Retrospective Studies, Risk Factors.
- MESH :
- epidemiology : Cataract, Postoperative Complications.
- etiology : Cataract, Postoperative Complications.
- pathology : Lens Capsule, Crystalline.
- statistics & numerical data : Laser Therapy.
- surgery : Lens Capsule, Crystalline.
- Adult, Aged, Aged, 80 and over, Diabetes Complications, Female, Humans, Incidence, Lens Implantation, Intraocular, Male, Middle Aged, Phacoemulsification, Proportional Hazards Models, Retrospective Studies, Risk Factors.
Abstract
To estimate the cumulative incidence and identify the risk factors of posterior capsule opacification (PCO) that required Nd:YAG capsulotomy in non-diabetic and diabetic patients.
DOI: 10.1111/j.1442-9071.2006.01263.x
PubMed: 16925699
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pubmed:16925699Le document en format XML
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<author><name sortKey="Elgohary, Mostafa A" sort="Elgohary, Mostafa A" uniqKey="Elgohary M" first="Mostafa A" last="Elgohary">Mostafa A. Elgohary</name>
<affiliation wicri:level="1"><nlm:affiliation>Medical Retina Service, Moorfields Eye Hospital, London, UK, and Tanta Ophthalmology University Hospital, Egypt. m.elgohary@doctors.org.uk</nlm:affiliation>
<country xml:lang="fr">Égypte</country>
<wicri:regionArea>Medical Retina Service, Moorfields Eye Hospital, London, UK, and Tanta Ophthalmology University Hospital</wicri:regionArea>
<wicri:noRegion>and Tanta Ophthalmology University Hospital</wicri:noRegion>
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</author>
<author><name sortKey="Dowler, Jonathan G" sort="Dowler, Jonathan G" uniqKey="Dowler J" first="Jonathan G" last="Dowler">Jonathan G. Dowler</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Incidence and risk factors of Nd:YAG capsulotomy after phacoemulsification in non-diabetic and diabetic patients.</title>
<author><name sortKey="Elgohary, Mostafa A" sort="Elgohary, Mostafa A" uniqKey="Elgohary M" first="Mostafa A" last="Elgohary">Mostafa A. Elgohary</name>
<affiliation wicri:level="1"><nlm:affiliation>Medical Retina Service, Moorfields Eye Hospital, London, UK, and Tanta Ophthalmology University Hospital, Egypt. m.elgohary@doctors.org.uk</nlm:affiliation>
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<wicri:regionArea>Medical Retina Service, Moorfields Eye Hospital, London, UK, and Tanta Ophthalmology University Hospital</wicri:regionArea>
<wicri:noRegion>and Tanta Ophthalmology University Hospital</wicri:noRegion>
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<author><name sortKey="Dowler, Jonathan G" sort="Dowler, Jonathan G" uniqKey="Dowler J" first="Jonathan G" last="Dowler">Jonathan G. Dowler</name>
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<series><title level="j">Clinical & experimental ophthalmology</title>
<idno type="ISSN">1442-6404</idno>
<imprint><date when="2006" type="published">2006</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cataract (epidemiology)</term>
<term>Cataract (etiology)</term>
<term>Diabetes Complications</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Laser Therapy (statistics & numerical data)</term>
<term>Lens Capsule, Crystalline (pathology)</term>
<term>Lens Capsule, Crystalline (surgery)</term>
<term>Lens Implantation, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Phacoemulsification</term>
<term>Postoperative Complications (epidemiology)</term>
<term>Postoperative Complications (etiology)</term>
<term>Proportional Hazards Models</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Cataract</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cataract</term>
<term>Postoperative Complications</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>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Diabetes Complications</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Lens Implantation, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Phacoemulsification</term>
<term>Proportional Hazards Models</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
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<front><div type="abstract" xml:lang="en">To estimate the cumulative incidence and identify the risk factors of posterior capsule opacification (PCO) that required Nd:YAG capsulotomy in non-diabetic and diabetic patients.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">16925699</PMID>
<DateCreated><Year>2006</Year>
<Month>08</Month>
<Day>23</Day>
</DateCreated>
<DateCompleted><Year>2006</Year>
<Month>10</Month>
<Day>03</Day>
</DateCompleted>
<DateRevised><Year>2007</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">1442-6404</ISSN>
<JournalIssue CitedMedium="Print"><Volume>34</Volume>
<Issue>6</Issue>
<PubDate><Year>2006</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>Clinical & experimental ophthalmology</Title>
<ISOAbbreviation>Clin. Experiment. Ophthalmol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Incidence and risk factors of Nd:YAG capsulotomy after phacoemulsification in non-diabetic and diabetic patients.</ArticleTitle>
<Pagination><MedlinePgn>526-34</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To estimate the cumulative incidence and identify the risk factors of posterior capsule opacification (PCO) that required Nd:YAG capsulotomy in non-diabetic and diabetic patients.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Retrospective case-note review of 806 consecutive patients that underwent phacoemulsification and intraocular lens (IOL) implantation, 327 (40.6%) of whom were diabetic.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The cumulative incidence of Nd:YAG capsulotomy were 10.6%, 14.8%, 21.2% and 28.6% in non-diabetic patients; and 9%, 9.4%, 15.3% and 5.3% in diabetic patients after 1, 2, 3 and 4 years, respectively. A multivariate Cox regression analysis showed that, over the follow-up period, diabetes mellitus was associated with a decreased risk of Nd:YAG capsulotomy (hazard ratio [HR]=0.69; 95% confidence interval [CI] 0.47-0.99; P=0.047), whereas age of 65 years or younger (HR=1.58; 95% CI 1.09-2.27; P=0.02), polymethylmethacrylate (PMMA) (HR=3.98; 95% CI 1.60-9.95; P=0.003) or plate-haptic silicone IOLs (HR=3.75; 95% CI 1.60-8.80; P=0.002) in comparison with three-piece silicone IOLs, postoperative inflammation (HR=2.62; 95% CI 1.56-4.42; P<0.001) and pars plana vitrectomy (HR=1.85; 95% CI 1.20-2.83; P=0.005) were associated with an increased risk. Subgroup analysis showed that in non-diabetic patients, male gender (HR=1.63; 95% CI 1.04-2.57; P=0.03) was an additional risk factor and in diabetic patients there was no significant association between diabetes type, duration or retinopathy grade and the risk of Nd:YAG capsulotomy.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Although diabetes mellitus appears to be associated with a lower long-term incidence and a decreased risk of Nd:YAG capsulotomy, younger age, pars plana vitrectomy, postoperative inflammation, plate-haptic silicone and PMMA IOLs in addition to male gender in non-diabetic patients appear to be associated with a greater risk. Estimation of the incidence and risk factors of PCO should help in patient counselling and to design methods to reduce or prevent its development.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Elgohary</LastName>
<ForeName>Mostafa A</ForeName>
<Initials>MA</Initials>
<AffiliationInfo><Affiliation>Medical Retina Service, Moorfields Eye Hospital, London, UK, and Tanta Ophthalmology University Hospital, Egypt. m.elgohary@doctors.org.uk</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dowler</LastName>
<ForeName>Jonathan G</ForeName>
<Initials>JG</Initials>
</Author>
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<Language>eng</Language>
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<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D000369">Aged, 80 and over</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D002386">Cataract</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000453">epidemiology</QualifierName>
<QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D015994">Incidence</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D053685">Laser Therapy</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000706">statistics & numerical data</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D007903">Lens Capsule, Crystalline</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000473">pathology</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D019654">Lens Implantation, Intraocular</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D018918">Phacoemulsification</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011183">Postoperative Complications</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000453">epidemiology</QualifierName>
<QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D016016">Proportional Hazards Models</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012189">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012307">Risk Factors</DescriptorName>
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