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Evaluation of posterior capsular opacification development with two different microincision lenses: randomised clinical trial

Session Details

Session Title: PCO

Session Date/Time: Sunday 06/10/2013 | 08:00-09:30

Paper Time: 08:40

Venue: Elicium 1 (First Floor)

First Author: : S.Schriefl AUSTRIA

Co Author(s): :    C. Leydolt   E. Stifter   D. Zaruba   R. Menapace     

Abstract Details

Purpose:

To compare the development of posterior capsular opacification (PCO) and frequency of Nd:YAG capsulotomy between two microincision intraocular lenses (IOLs) 4 years after surgery.

Setting:

Department of Ophthalmology, Medical University of Vienna, Austria

Methods:

Sixty patients (120 eyes) were included in this randomized trial with intra-patient comparison. Each patient randomly received a Y-60H IOL (HOYA Surgical) in one eye and a MI60 IOL (Bausch&Lomb) in the contralateral eye. Eyes were examined 1 week, 2 years and 4 years after surgery. Digital retro-illuminated images of each eye were evaluated using a fully automated quantification of after-cataract software (AQUA). The Nd:YAG laser rate was noted.

Results:

Posterior capsule opacification (PCO) was higher for the MI60 IOL group than for the Y-60H IOL group in eyes previously not treated with Nd:YAG 2 years years after cataract surgery: An objective PCO score of 1.11 [0; 6.30] was found for the MI60 IOL group and of 0.075 [0; 3.89] for the Y-60H IOL group (p=0.006). At the 4-year follow-up, the MI60 IOL group presented with statistically significantly higher YAG rates than the Y-60H IOL group: 77% compared to 50% (p = 0.012).

Conclusions:

Both MICS IOLs showed higher YAG capsulotomie rates at the 4-year follow-up than has beem previously reported for IOLs of similar material and design.

Financial Interest:

NONE