Postoperative analysis of glistenings and posterior capsule opacification (PCO) after phacoemulsification: comparison of two different intraocular lenses
Session Details
Session Title: Presented Poster Session: After Surgery
Venue: Poster Village: Pod 1
First Author: : S.Masnec CROATIA
Co Author(s): : M. Kalauz T. Kuzman I. Skegro S. Jandrokovic
Abstract Details
Purpose:
to determine the incidence of glistenings and posterior capsule opacification ( PCO) and the relationship between the EnVISTA (Bausch&Lomb) and Acrysof IQ (Alcon) intraocular lens types over 3 years.
Setting:
University Hospital Center Zagreb, Department of Ophthalmology, Zagreb, Croatia.
Methods:
Prospective study included 60 patients over a 1 year of recruitment.
Phacoemulsification with IOL implantation was performed in all patients. In 30 eyes EnVISTA IOL was implanted and in 30 Acrysof IQ IOL.
Postoperative results of 1 month, 1, 2 and 3 years were compared. Glistenings was quantified with an Image J software. The grading scale was, in order of severity, none, mild, moderate and severe. Digital retroillumination images were taken of each eye. PCO values were assessed using a photographic image analysis system (EPCO 2000) . The rate of neodymium:YAG capsulotomy for each IOL was also compared.
Results:
No glistenings were reported in EnVISTA group.In the Acrysof IQ group 71 % eyes had mild, 27 % moderate and 4% severe glistenings. The mean PCO score was 2.78 ± 1.55 (SD) for the EnVISTA and 2.32 ± 1.20 for Acrysof IQ group (P=.229). There were no significant differences in the median EPCO values in the entire IOL optics area and in the central 3-mm optic zone at 3 years. Three years postoperatively, Nd:YAG capsulotomy was performed in 28% of eyes with EnVISTA IOL and 23.33% with the Acrysof IQ IOL (P=.692).
Conclusions:
Both IOLs had comparable PCO and Nd:YAG rates 3 years postoperatively. There were statisticaly significant difference between two IOLs regarding to glistening formations.
Financial Disclosure:
None
