Intraindividual comparison of capsular behaviour of two hydrophobic acrylic intraocular lenses during a 5-year follow-up

Session Details

Session Title: Cataract Surgery Practice Styles/PCO

Session Date/Time: Tuesday 10/10/2017 | 14:00-16:00

Paper Time: 14:50

Venue: Room 4.4

First Author: : G.Kahraman AUSTRIA

Co Author(s): :    C. Bernhart   B. Wetzel   F. Prager   M. Amon           

Abstract Details

Purpose:

To evaluate and compare the 5-year postoperative anterior (ACO) and posterior capsular opacification (PCO), the occurrence of glistenings and the level of anterior capsule retraction after implantation of two different designs of single-piece hydrophobic acrylic IOLs.

Setting:

Hospital of St. John, Dept.of ophthalmology Vienna Sigmund Freud Private University,Medical Faculty Vienna, Austria

Methods:

Forty-eight eyes of 24 patients with bilateral senile cataract were evaluated after 5 years after surgery. Each patient with bilateral cataract underwent surgery with randomized implantation of an AcrySof SA60AT (group A) in one eye and Tecnis ZCB00 (group B) in the fellow eye. After 1, 3 and 5 years after surgery, the PCO, ACO and capsule retraction was evaluated and graded subjectively. Glistenings were scored as present or not present.

Results:

No significant differences in PCO score were found between groups A and B during all follow-up visits but a significant increase in the PCO score was found between 3 and 5 years postoperatively (p<0.01). Capsular phimosis was observed significantly more frequently in group A (1 year 18.0%, 3 years 30.0%, 5 years 72.0%) than in group B (1 and 3 years 0 eyes; 5 years 1 eye). Glistenings (1 year 66.0%, 3 years 86.0%, 5 years 100%) were observed in group A only

Conclusions:

Both IOLs had a comparable PCO rate 5 years after surgery, but more anterior capsule opacification and retraction as well as glistenings were observed with the Acrysof interrupted optic edge IOL.

Financial Disclosure:

travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented