Serveur d'exploration sur les dispositifs haptiques

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Influence of three-piece and single-piece designs of two sharp-edge optic hydrophobic acrylic intraocular lenses on the prevention of posterior capsule opacification: a prospective, randomised, long-term clinical trial.

Identifieur interne : 001419 ( PubMed/Checkpoint ); précédent : 001418; suivant : 001420

Influence of three-piece and single-piece designs of two sharp-edge optic hydrophobic acrylic intraocular lenses on the prevention of posterior capsule opacification: a prospective, randomised, long-term clinical trial.

Auteurs : Reda Zemaitiene [Lituanie] ; Vytautas Jasinskas ; Gerd U. Auffarth

Source :

RBID : pubmed:17124239

English descriptors

Abstract

Posterior capsule opacification (PCO) is still a major long-term complication of modern cataract surgery. We evaluated the impact of sharp-edged intraocular lenses (IOLs) with different haptic designs made from the same hydrophobic acrylic material on posterior and anterior lens capsule opacification.

DOI: 10.1136/bjo.2006.103648
PubMed: 17124239


Affiliations:


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pubmed:17124239

Le document en format XML

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<term>Lens Capsule, Crystalline</term>
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<term>Postoperative Complications (prevention & control)</term>
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<term>Cataract</term>
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<term>Postoperative Complications</term>
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<term>Aged</term>
<term>Humans</term>
<term>Hydrophobic and Hydrophilic Interactions</term>
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<div type="abstract" xml:lang="en">Posterior capsule opacification (PCO) is still a major long-term complication of modern cataract surgery. We evaluated the impact of sharp-edged intraocular lenses (IOLs) with different haptic designs made from the same hydrophobic acrylic material on posterior and anterior lens capsule opacification.</div>
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<Day>07</Day>
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<Title>The British journal of ophthalmology</Title>
<ISOAbbreviation>Br J Ophthalmol</ISOAbbreviation>
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<ArticleTitle>Influence of three-piece and single-piece designs of two sharp-edge optic hydrophobic acrylic intraocular lenses on the prevention of posterior capsule opacification: a prospective, randomised, long-term clinical trial.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Posterior capsule opacification (PCO) is still a major long-term complication of modern cataract surgery. We evaluated the impact of sharp-edged intraocular lenses (IOLs) with different haptic designs made from the same hydrophobic acrylic material on posterior and anterior lens capsule opacification.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Eye clinic of Kaunas University of Medicine, Lithuania. Prospective randomised clinical study.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Seventy-four eyes of 74 patients scheduled for cataract surgery were included in a prospective randomised clinical study. Thirty-seven eyes of 37 patients received a three-piece acrylic hydrophobic (AcrySof, MA3OBA, Alcon) IOL; and thirty-seven eyes of 37 patients received a one-piece acrylic hydrophobic (AcrySof, SA3OAL, Alcon) IOL. Visual acuity, anterior capsule opacification (ACO), capsular folds, capsulorrhexis/optic overlapping and posterior capsule opacification (PCO) were evaluated. ACO was assessed subjectively. PCO values in the entire IOL optic area and in the central 3 mm optic zone were assessed using a photographic image-analysis system (EPCO2000). Follow-ups were performed postoperatively at 1 day, 6 months, 1 year and 2 years.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">There were no significant differences in best corrected visual acuity, grade of ACO and capsulorrhexis/optic overlapping between IOL types during the follow-up period. Patients in the one-piece acrylic hydrophobic IOL group more frequently presented with capsular folds behind the IOL optic area than those in the three-piece IOL group. In the three-piece acrylic hydrophobic IOL group, PCO values (mean (SD)) of the entire IOL optic area were significantly lower six months postoperative (three-piece: 0.002 (0.009); one-piece: 0.007 (0.017); p=0.04), one year postoperative (three-piece: 0.004 (0.016); one-piece: 0.026 (0.041); p=0.001) as well as one year postoperative in the central 3 mm optic zone (three-piece: 0.000 (0.0002); one-piece: 0.019 (0.049); p=0.001). However, two years postoperative, the PCO values of the groups did not show significant differences (entire IOL optic area: three-piece, 0.136 (0.223); one-piece, 0.154 (0.190); p=0.18; central zone: three-piece, 0.023 (0.065); one-piece: 0.020 (0.039); p=0.44).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The 2 year follow-up after cataract surgery showed no significant difference in ACO and PCO development between three-piece and one-piece acrylic hydrophobic intraocular lenses.</AbstractText>
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