HapticV1, Main, Exploration, bibRecord, 004858

Posterior Capsule Opacification in Silicone and Hydrophobic Acrylic Intraocular Lenses with Sharp-edge Optics Six Years After Surgery

Identifieur interne : 004858 ( Main/Exploration ); précédent : 004857; suivant : 004859

Posterior Capsule Opacification in Silicone and Hydrophobic Acrylic Intraocular Lenses with Sharp-edge Optics Six Years After Surgery

Auteurs : Lorenz Vock [Autriche] ; Alja Crnej [Slovénie] ; Oliver Findl [Autriche, Royaume-Uni] ; Thomas Neumayer [Autriche] ; Wolf Buehl [Autriche] ; Stefan Sacu [Autriche] ; Georg Rainer [Autriche] ; Rupert Menapace [Autriche]

Source :

American journal of ophthalmology [ 0002-9394 ] ; 2009.

RBID : Pascal:09-0177267

Descripteurs français

Pascal (Inist)
- Postérieur, Capsule, Opacification, Siloxane polymère, Lentille intraoculaire, Bord, Optique, Chirurgie, Ophtalmologie, Traitement.
Wicri :
- topic : Optique, Chirurgie.

English descriptors

KwdEn :
- Capsule, Edge, Intraocular lens, Opacification, Ophthalmology, Optics, Posterior, Siloxane polymer, Surgery, Treatment.

Abstract

• PURPOSE: To compare posterior capsule opacification (PCO) between 2 three-piece intraocular lenses (IOLs) both with sharp-optic edges and open loop haptics, one made of silicone and the other made of hydrophobic acrylate, 6 years after surgery. • DESIGN: Randomized, controlled, patient- and examiner-masked trial with intra-patient comparison. • METHODS: One hundred and six eyes in 53 patients were included initially. Forty-four eyes of 22 patients with age-related bilateral cataract were available for the 6 years follow-up. Each patient had standard cataract surgery and randomly received a silicone (CeeOn 911A; AMO, Santa Ana, California, USA) or hydrophobic acrylic (AcrySof MA60BM; Alcon, Fort Worth, Texas, USA) IOL in the first eye, the other type of IOL in the fellow eye. Follow-up examinations were at 1, 3, and 6 years after surgery. The intensity of posterior capsule opacification (PCO) was assessed using digital retro-illuminated photos and the "automated quantification of after-cataract" (AQUA) software. Neodymium-yttrium-aluminum-garnet-laser capsulotomies (YAG-LC) performed were noted. • RESULTS: Six years after surgery, the AQUA scores were 2.3 ± 1.4 for the silicone and 3.8 ± 2.0 for the acrylic IOLs (P =.0016). The acrylic IOL eyes also had a significant increase in AQUA score from the 3-year to the 6-year follow-up. YAG-LC were performed in 2 silicone and 6 acrylic IOLs (P =.01). • CONCLUSIONS: An angulated three-piece hydrophobic acrylic IOL had more PCO 6 years after surgery than a silicone IOL of otherwise similar design. Apart from an optic material effect, differences in haptic design and the degree of optic edge sharpness may play a role.

Affiliations:

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Le document en format XML

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<series><title level="j" type="main">American journal of ophthalmology</title>
<title level="j" type="abbreviated">Am. j. ophthalmol.</title>
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<seriesStmt><title level="j" type="main">American journal of ophthalmology</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Capsule</term>
<term>Edge</term>
<term>Intraocular lens</term>
<term>Opacification</term>
<term>Ophthalmology</term>
<term>Optics</term>
<term>Posterior</term>
<term>Siloxane polymer</term>
<term>Surgery</term>
<term>Treatment</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Postérieur</term>
<term>Capsule</term>
<term>Opacification</term>
<term>Siloxane polymère</term>
<term>Lentille intraoculaire</term>
<term>Bord</term>
<term>Optique</term>
<term>Chirurgie</term>
<term>Ophtalmologie</term>
<term>Traitement</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Optique</term>
<term>Chirurgie</term>
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<front><div type="abstract" xml:lang="en">• PURPOSE: To compare posterior capsule opacification (PCO) between 2 three-piece intraocular lenses (IOLs) both with sharp-optic edges and open loop haptics, one made of silicone and the other made of hydrophobic acrylate, 6 years after surgery. • DESIGN: Randomized, controlled, patient- and examiner-masked trial with intra-patient comparison. • METHODS: One hundred and six eyes in 53 patients were included initially. Forty-four eyes of 22 patients with age-related bilateral cataract were available for the 6 years follow-up. Each patient had standard cataract surgery and randomly received a silicone (CeeOn 911A; AMO, Santa Ana, California, USA) or hydrophobic acrylic (AcrySof MA60BM; Alcon, Fort Worth, Texas, USA) IOL in the first eye, the other type of IOL in the fellow eye. Follow-up examinations were at 1, 3, and 6 years after surgery. The intensity of posterior capsule opacification (PCO) was assessed using digital retro-illuminated photos and the "automated quantification of after-cataract" (AQUA) software. Neodymium-yttrium-aluminum-garnet-laser capsulotomies (YAG-LC) performed were noted. • RESULTS: Six years after surgery, the AQUA scores were 2.3 ± 1.4 for the silicone and 3.8 ± 2.0 for the acrylic IOLs (P =.0016). The acrylic IOL eyes also had a significant increase in AQUA score from the 3-year to the 6-year follow-up. YAG-LC were performed in 2 silicone and 6 acrylic IOLs (P =.01). • CONCLUSIONS: An angulated three-piece hydrophobic acrylic IOL had more PCO 6 years after surgery than a silicone IOL of otherwise similar design. Apart from an optic material effect, differences in haptic design and the degree of optic edge sharpness may play a role.</div>
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<li>Royaume-Uni</li>
<li>Slovénie</li>
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<li>Grand Londres</li>
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<name sortKey="Buehl, Wolf" sort="Buehl, Wolf" uniqKey="Buehl W" first="Wolf" last="Buehl">Wolf Buehl</name>
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<name sortKey="Menapace, Rupert" sort="Menapace, Rupert" uniqKey="Menapace R" first="Rupert" last="Menapace">Rupert Menapace</name>
<name sortKey="Neumayer, Thomas" sort="Neumayer, Thomas" uniqKey="Neumayer T" first="Thomas" last="Neumayer">Thomas Neumayer</name>
<name sortKey="Rainer, Georg" sort="Rainer, Georg" uniqKey="Rainer G" first="Georg" last="Rainer">Georg Rainer</name>
<name sortKey="Sacu, Stefan" sort="Sacu, Stefan" uniqKey="Sacu S" first="Stefan" last="Sacu">Stefan Sacu</name>
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<country name="Slovénie"><noRegion><name sortKey="Crnej, Alja" sort="Crnej, Alja" uniqKey="Crnej A" first="Alja" last="Crnej">Alja Crnej</name>
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<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Findl, Oliver" sort="Findl, Oliver" uniqKey="Findl O" first="Oliver" last="Findl">Oliver Findl</name>
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Posterior Capsule Opacification in Silicone and Hydrophobic Acrylic Intraocular Lenses with Sharp-edge Optics Six Years After Surgery

Posterior Capsule Opacification in Silicone and Hydrophobic Acrylic Intraocular Lenses with Sharp-edge Optics Six Years After Surgery

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Abstract

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