Long-term effect of 1-piece and 3-piece hydrophobic acrylic intraocular lens on posterior capsule opacification : A Randomized Trial
Identifieur interne : 005B82 ( Main/Merge ); précédent : 005B81; suivant : 005B83Long-term effect of 1-piece and 3-piece hydrophobic acrylic intraocular lens on posterior capsule opacification : A Randomized Trial
Auteurs : Christina Leydolt [Autriche] ; Sofija Davidovic [Autriche, Serbie] ; Stefan Sacu [Autriche] ; Rupert Menapace [Autriche] ; Thomas Neumayer [Autriche] ; Ana Prinz [Autriche] ; Wolf Buehl [Autriche] ; Oliver Findl [Autriche]Source :
- Ophthalmology : (Rochester, MN) [ 0161-6420 ] ; 2007.
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- Pascal (Inist)
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Abstract
Purpose: To compare the intensity of posterior capsule opacification (PCO) between the 1-piece and 3-piece haptic designs of the foldable hydrophobic acrylic AcrySof intraocular lens (IOL) over a 5-year period. Design: Randomized, prospective, patient- and examiner-masked clinical trial with intraindividual comparison. Participants: Fifty-two patients with bilateral age-related cataract (104 eyes). Methods: Each study patient had cataract surgery in both eyes and received a 1 -piece AcrySof IOL in 1 eye and a 3-piece AcrySof IOL in the other eye. Follow-up examinations were performed at 1 week, 1 month, 6 months, and 1, 2, and 5 years. Digital retroillumination images were obtained of each eye. The amount of posterior capsule opacification (score range, 0-10) was assessed subjectively at the slit lamp and objectively using automated image analysis software 1, 2, and 5 years after surgery. Main Outcome Measure: Posterior capsule opacification score (scale, 0-10). Results: There was no significant difference between the 1 -piece and 3-piece AcrySof IOL in best-corrected visual acuity, overlap of rhexis and IOL, capsular folds, anterior capsule opacification, and posterior capsule opacification (1-piece AcrySof PCO score, 1.7±1.7; 3-piece AcrySof PCO score, 1.3±1.4; P = 0.30). Conclusions: Modification of the IOL haptic design of the sharp optic edged AcrySof IOL from a 3-piece to a 1-piece haptic design caused no significant change in PCO intensity and neodymium:yttrium-aluminium-garnet laser treatment rate 5 years after surgery.
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first="Thomas" last="Neumayer">Thomas Neumayer</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Prinz, Ana" sort="Prinz, Ana" uniqKey="Prinz A" first="Ana" last="Prinz">Ana Prinz</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Buehl, Wolf" sort="Buehl, Wolf" uniqKey="Buehl W" first="Wolf" last="Buehl">Wolf Buehl</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Findl, Oliver" sort="Findl, Oliver" uniqKey="Findl O" first="Oliver" last="Findl">Oliver Findl</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 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Trial</title><author><name sortKey="Leydolt, Christina" sort="Leydolt, Christina" uniqKey="Leydolt C" first="Christina" last="Leydolt">Christina Leydolt</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Davidovic, Sofija" sort="Davidovic, Sofija" uniqKey="Davidovic S" first="Sofija" last="Davidovic">Sofija Davidovic</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Novi Sad Clinical Centre Eye Clinic</s1><s2>Novi Sad</s2><s3>SCG</s3><sZ>2 aut.</sZ></inist:fA14><country wicri:auto="SCG">Serbie</country><wicri:noRegion>Novi Sad Clinical Centre Eye Clinic</wicri:noRegion></affiliation></author><author><name sortKey="Sacu, Stefan" sort="Sacu, Stefan" uniqKey="Sacu S" first="Stefan" last="Sacu">Stefan Sacu</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Menapace, Rupert" sort="Menapace, Rupert" uniqKey="Menapace R" first="Rupert" last="Menapace">Rupert Menapace</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Neumayer, Thomas" sort="Neumayer, Thomas" uniqKey="Neumayer T" first="Thomas" last="Neumayer">Thomas Neumayer</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Prinz, Ana" sort="Prinz, Ana" uniqKey="Prinz A" first="Ana" last="Prinz">Ana Prinz</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Buehl, Wolf" sort="Buehl, Wolf" uniqKey="Buehl W" first="Wolf" last="Buehl">Wolf Buehl</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Findl, Oliver" sort="Findl, Oliver" uniqKey="Findl O" first="Oliver" last="Findl">Oliver Findl</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Ophthalmology, Medical University of Vienna</s1><s2>Vienna</s2><s3>AUT</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Ophthalmology : (Rochester, MN)</title><title level="j" type="abbreviated">Ophthalmology : (Rochester MN)</title><idno type="ISSN">0161-6420</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Ophthalmology : (Rochester, MN)</title><title level="j" type="abbreviated">Ophthalmology : (Rochester MN)</title><idno type="ISSN">0161-6420</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acrylic polymer</term><term>Capsule</term><term>Long term</term><term>Opacification</term><term>Ophthalmology</term><term>Posterior</term><term>Randomization</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Long terme</term><term>Acrylique dérivé polymère</term><term>Postérieur</term><term>Capsule</term><term>Opacification</term><term>Randomisation</term><term>Ophtalmologie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose: To compare the intensity of posterior capsule opacification (PCO) between the 1-piece and 3-piece haptic designs of the foldable hydrophobic acrylic AcrySof intraocular lens (IOL) over a 5-year period. Design: Randomized, prospective, patient- and examiner-masked clinical trial with intraindividual comparison. Participants: Fifty-two patients with bilateral age-related cataract (104 eyes). Methods: Each study patient had cataract surgery in both eyes and received a 1 -piece AcrySof IOL in 1 eye and a 3-piece AcrySof IOL in the other eye. Follow-up examinations were performed at 1 week, 1 month, 6 months, and 1, 2, and 5 years. Digital retroillumination images were obtained of each eye. The amount of posterior capsule opacification (score range, 0-10) was assessed subjectively at the slit lamp and objectively using automated image analysis software 1, 2, and 5 years after surgery. Main Outcome Measure: Posterior capsule opacification score (scale, 0-10). Results: There was no significant difference between the 1 -piece and 3-piece AcrySof IOL in best-corrected visual acuity, overlap of rhexis and IOL, capsular folds, anterior capsule opacification, and posterior capsule opacification (1-piece AcrySof PCO score, 1.7±1.7; 3-piece AcrySof PCO score, 1.3±1.4; P = 0.30). Conclusions: Modification of the IOL haptic design of the sharp optic edged AcrySof IOL from a 3-piece to a 1-piece haptic design caused no significant change in PCO intensity and neodymium:yttrium-aluminium-garnet laser treatment rate 5 years after surgery.</div></front></TEI><affiliations><list><country><li>Autriche</li><li>Serbie</li></country><region><li>Vienne (Autriche)</li></region><settlement><li>Vienne (Autriche)</li></settlement></list><tree><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Leydolt, Christina" sort="Leydolt, Christina" uniqKey="Leydolt C" first="Christina" last="Leydolt">Christina Leydolt</name></region><name sortKey="Buehl, Wolf" sort="Buehl, Wolf" uniqKey="Buehl W" first="Wolf" last="Buehl">Wolf Buehl</name><name sortKey="Davidovic, Sofija" sort="Davidovic, Sofija" uniqKey="Davidovic S" first="Sofija" last="Davidovic">Sofija Davidovic</name><name sortKey="Findl, Oliver" sort="Findl, Oliver" uniqKey="Findl O" first="Oliver" last="Findl">Oliver Findl</name><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="Prinz, Ana" sort="Prinz, Ana" uniqKey="Prinz A" first="Ana" last="Prinz">Ana Prinz</name><name sortKey="Sacu, Stefan" sort="Sacu, Stefan" uniqKey="Sacu S" first="Stefan" last="Sacu">Stefan Sacu</name></country><country name="Serbie"><noRegion><name sortKey="Davidovic, Sofija" sort="Davidovic, Sofija" uniqKey="Davidovic S" first="Sofija" last="Davidovic">Sofija Davidovic</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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