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Evaluation of neodymium:yttrium-aluminum-garnet capsulotomies in eyes implanted with AcrySof intraocular lenses.

Identifieur interne : 001C61 ( PubMed/Corpus ); précédent : 001C60; suivant : 001C62

Evaluation of neodymium:yttrium-aluminum-garnet capsulotomies in eyes implanted with AcrySof intraocular lenses.

Auteurs : Josef M. Schmidbauer ; Luis G. Vargas ; David J. Apple ; Marcela Escobar-Gomez ; Andrea Izak ; Stella N. Arthur ; Ariadne Golescu ; Qun Peng

Source :

RBID : pubmed:12153790

English descriptors

Abstract

As of December 31, 2000, the neodymium:yttrium-aluminum-garnet (Nd:YAG) laser posterior capsulotomy rate for the Alcon AcrySof intraocular lens (IOL) as measured in our database was 3.3%. This was the lowest of any IOL model used in the United States. Only 12 of 361 cases required treatment. We analyzed possible surgical reasons that may have been responsible for the posterior capsule opacification (PCO) in this small group. Special attention was given to the three surgical factors that we had previously identified as being important for PCO reduction: (1) quality of cortical clean up, (2) type of haptic fixation, and (3) continuous curvilinear capsulorhexis (CCC) size and shape.

PubMed: 12153790

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pubmed:12153790

Le document en format XML

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<title xml:lang="en">Evaluation of neodymium:yttrium-aluminum-garnet capsulotomies in eyes implanted with AcrySof intraocular lenses.</title>
<author>
<name sortKey="Schmidbauer, Josef M" sort="Schmidbauer, Josef M" uniqKey="Schmidbauer J" first="Josef M" last="Schmidbauer">Josef M. Schmidbauer</name>
<affiliation>
<nlm:affiliation>Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Department of Ophthalmology, Medical University of South Carolina, Charleston 29425-5536, USA.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Vargas, Luis G" sort="Vargas, Luis G" uniqKey="Vargas L" first="Luis G" last="Vargas">Luis G. Vargas</name>
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<author>
<name sortKey="Apple, David J" sort="Apple, David J" uniqKey="Apple D" first="David J" last="Apple">David J. Apple</name>
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<name sortKey="Escobar Gomez, Marcela" sort="Escobar Gomez, Marcela" uniqKey="Escobar Gomez M" first="Marcela" last="Escobar-Gomez">Marcela Escobar-Gomez</name>
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<name sortKey="Izak, Andrea" sort="Izak, Andrea" uniqKey="Izak A" first="Andrea" last="Izak">Andrea Izak</name>
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<name sortKey="Arthur, Stella N" sort="Arthur, Stella N" uniqKey="Arthur S" first="Stella N" last="Arthur">Stella N. Arthur</name>
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<name sortKey="Golescu, Ariadne" sort="Golescu, Ariadne" uniqKey="Golescu A" first="Ariadne" last="Golescu">Ariadne Golescu</name>
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<name sortKey="Peng, Qun" sort="Peng, Qun" uniqKey="Peng Q" first="Qun" last="Peng">Qun Peng</name>
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<title xml:lang="en">Evaluation of neodymium:yttrium-aluminum-garnet capsulotomies in eyes implanted with AcrySof intraocular lenses.</title>
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<name sortKey="Schmidbauer, Josef M" sort="Schmidbauer, Josef M" uniqKey="Schmidbauer J" first="Josef M" last="Schmidbauer">Josef M. Schmidbauer</name>
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<name sortKey="Vargas, Luis G" sort="Vargas, Luis G" uniqKey="Vargas L" first="Luis G" last="Vargas">Luis G. Vargas</name>
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<name sortKey="Apple, David J" sort="Apple, David J" uniqKey="Apple D" first="David J" last="Apple">David J. Apple</name>
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<name sortKey="Escobar Gomez, Marcela" sort="Escobar Gomez, Marcela" uniqKey="Escobar Gomez M" first="Marcela" last="Escobar-Gomez">Marcela Escobar-Gomez</name>
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<name sortKey="Izak, Andrea" sort="Izak, Andrea" uniqKey="Izak A" first="Andrea" last="Izak">Andrea Izak</name>
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<name sortKey="Arthur, Stella N" sort="Arthur, Stella N" uniqKey="Arthur S" first="Stella N" last="Arthur">Stella N. Arthur</name>
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<name sortKey="Golescu, Ariadne" sort="Golescu, Ariadne" uniqKey="Golescu A" first="Ariadne" last="Golescu">Ariadne Golescu</name>
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<name sortKey="Peng, Qun" sort="Peng, Qun" uniqKey="Peng Q" first="Qun" last="Peng">Qun Peng</name>
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<title level="j">Ophthalmology</title>
<idno type="ISSN">0161-6420</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Acrylic Resins</term>
<term>Aged</term>
<term>Capsulorhexis (methods)</term>
<term>Cataract (prevention & control)</term>
<term>Cataract Extraction</term>
<term>Humans</term>
<term>Incidence</term>
<term>Laser Therapy</term>
<term>Lens Capsule, Crystalline (pathology)</term>
<term>Lens Capsule, Crystalline (surgery)</term>
<term>Lens Implantation, Intraocular</term>
<term>Lenses, Intraocular</term>
<term>Postoperative Complications (pathology)</term>
<term>Postoperative Complications (surgery)</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Acrylic Resins</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Capsulorhexis</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Lens Capsule, Crystalline</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Cataract</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Lens Capsule, Crystalline</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Cataract Extraction</term>
<term>Humans</term>
<term>Incidence</term>
<term>Laser Therapy</term>
<term>Lens Implantation, Intraocular</term>
<term>Lenses, Intraocular</term>
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<front>
<div type="abstract" xml:lang="en">As of December 31, 2000, the neodymium:yttrium-aluminum-garnet (Nd:YAG) laser posterior capsulotomy rate for the Alcon AcrySof intraocular lens (IOL) as measured in our database was 3.3%. This was the lowest of any IOL model used in the United States. Only 12 of 361 cases required treatment. We analyzed possible surgical reasons that may have been responsible for the posterior capsule opacification (PCO) in this small group. Special attention was given to the three surgical factors that we had previously identified as being important for PCO reduction: (1) quality of cortical clean up, (2) type of haptic fixation, and (3) continuous curvilinear capsulorhexis (CCC) size and shape.</div>
</front>
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<PMID Version="1">12153790</PMID>
<DateCreated>
<Year>2002</Year>
<Month>08</Month>
<Day>02</Day>
</DateCreated>
<DateCompleted>
<Year>2002</Year>
<Month>08</Month>
<Day>15</Day>
</DateCompleted>
<DateRevised>
<Year>2007</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0161-6420</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>109</Volume>
<Issue>8</Issue>
<PubDate>
<Year>2002</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>Ophthalmology</Title>
<ISOAbbreviation>Ophthalmology</ISOAbbreviation>
</Journal>
<ArticleTitle>Evaluation of neodymium:yttrium-aluminum-garnet capsulotomies in eyes implanted with AcrySof intraocular lenses.</ArticleTitle>
<Pagination>
<MedlinePgn>1421-6</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">As of December 31, 2000, the neodymium:yttrium-aluminum-garnet (Nd:YAG) laser posterior capsulotomy rate for the Alcon AcrySof intraocular lens (IOL) as measured in our database was 3.3%. This was the lowest of any IOL model used in the United States. Only 12 of 361 cases required treatment. We analyzed possible surgical reasons that may have been responsible for the posterior capsule opacification (PCO) in this small group. Special attention was given to the three surgical factors that we had previously identified as being important for PCO reduction: (1) quality of cortical clean up, (2) type of haptic fixation, and (3) continuous curvilinear capsulorhexis (CCC) size and shape.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Comparative autopsy tissue analysis.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Three hundred sixty-one human eyes obtained postmortem with Alcon AcrySof IOLs, accessioned between January 1995 and December 2000 from Lions Eye Banks.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The eyes were evaluated by the Miyake-Apple posterior photographic technique.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">The area and intensity of Soemmering's ring and type of fixation were studied in 361 eyes. The size and shape of the CCC and relation of the CCC edge to the IOL's optic rim were analyzed in 168 eyes.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The amount of Soemmering's ring formation was significantly larger in the group of IOLs requiring Nd:YAG capsulotomy (Nd:YAG group). The not in-the-bag fixated IOLs required more Nd:YAG capsulotomies. Although the trend was clear, the number of specimens was not large enough to acquire statistical significance. The Nd:YAG group showed a highly significant difference compared with the No Nd:YAG group with regard to the amount of clock hours of the CCC edge on the optic rim's surface (P < 0.001). Mean CCC diameters were significantly larger in the Nd:YAG group (P < 0.05).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The amount of Soemmering's ring correlates with the quality of cortical clean up. Cells within the Soemmering's ring are the direct precursors of PCO. This study confirms our previous laboratory studies and the clinical assumption that the incidence of PCO and thus the need for Nd:YAG capsulotomy is correlated with the cortical clean up. A second clinical assumption, that poor IOL fixation increases the risk of PCO, is also strongly suggested in this study. This study also verifies the relation of the CCC to PCO and the Nd:YAG laser, namely that a relatively small CCC without tears is best to prevent this complication. Use of a high-quality IOL combined with diligent attention to these three surgical factors should lower further the incidence of PCO.</AbstractText>
</Abstract>
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<LastName>Schmidbauer</LastName>
<ForeName>Josef M</ForeName>
<Initials>JM</Initials>
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<Affiliation>Center for Research on Ocular Therapeutics and Biodevices, Storm Eye Institute, Department of Ophthalmology, Medical University of South Carolina, Charleston 29425-5536, USA.</Affiliation>
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<LastName>Vargas</LastName>
<ForeName>Luis G</ForeName>
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<LastName>Apple</LastName>
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<Language>eng</Language>
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<DescriptorName MajorTopicYN="Y" UI="D000180">Acrylic Resins</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D019923">Capsulorhexis</DescriptorName>
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<QualifierName MajorTopicYN="N" UI="Q000517">prevention & control</QualifierName>
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<DescriptorName MajorTopicYN="N" UI="D002387">Cataract Extraction</DescriptorName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D015994">Incidence</DescriptorName>
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<MeshHeading>
<DescriptorName MajorTopicYN="Y" UI="D053685">Laser Therapy</DescriptorName>
</MeshHeading>
<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="Y" UI="D019654">Lens Implantation, Intraocular</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="Y" UI="D007910">Lenses, Intraocular</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N" UI="D011183">Postoperative Complications</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000473">pathology</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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<PubMedPubDate PubStatus="pubmed">
<Year>2002</Year>
<Month>8</Month>
<Day>3</Day>
<Hour>10</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2002</Year>
<Month>8</Month>
<Day>16</Day>
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<Minute>1</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2002</Year>
<Month>8</Month>
<Day>3</Day>
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<PublicationStatus>ppublish</PublicationStatus>
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