Effect of anterior capsule polish on visual function: A meta-analysis

Han, Mengyao; Yu, Ai-Hua; Yuan, Jing; Cai, Xueting; Ren, Jiangbo

doi:10.1371/journal.pone.0210205

Cited by 9 publications

(10 citation statements)

References 30 publications

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“…In the past two decades, the use of ACP to prevent PCO after uneventful phacoemulsification has been a frequent topic of discussion and research among cataract surgeons worldwide (8)(9)(10)(11)(12). Nevertheless, no consensus has been reached on the efficacy of polishing.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Anterior Capsule Polishing on the Rate of Neodymium: YAG Laser Capsulotomy After Two Multifocal Intraocular Lens Implantation

Lin

Bai

et al. 2022

Front. Med.

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PurposeTo compare the impact of anterior capsule polishing (ACP) during cataract surgery on the rate of neodymium: YAG (Nd: YAG) laser capsulotomy in pseudophakic eyes with two multifocal intraocular lenses (MIOLs).MethodsData were collected on patients who underwent cataract surgery and implanted segmental refractive MIOLs (SBL-3, Lenstec) or diffracted MIOLs (AT LISA tri 839MP, Carl Zeiss Meditec). The participants were divided into ACP and non-ACP groups based on whether the anterior capsule was polished. The primary outcome measure was whether Nd: YAG capsulotomy was performed during the 3 years follow-up. We used Kaplan–Meier survival curves to determine the time from IOL implantation to Nd: YAG laser capsulotomy.ResultsACP and non-ACP groups comprised 70 and 60 eyes, respectively. One year postoperatively, 7.14% of ACP group eyes and 8.33% of non-ACP group required Nd: YAG laser capsulotomy (P > 0.99). After 2 years, it was 24.29 and 18.33%, respectively (P = 0.52), while after 3 years, it reached 30.0 and 28.33% (P = 0.85). No distinct difference existed in the probability of using Nd: YAG laser in both groups evaluated using Kaplan-Meier survival curves (P = 0.81). Patients with diffractive MIOLs (AT LISA tri 839MP) implantation were more likely to require Nd: YAG laser capsulotomy (P < 0.01).ConclusionPolishing the anterior capsule had no remarkable effect on reducing the rate of Nd: YAG laser capsulotomy following phacoemulsification in MIOLs. Patients with diffractive MIOLs implantation had a high probability of requiring Nd: YAG laser capsulotomy.

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Section: Discussionmentioning

confidence: 99%

Comparison of Anterior Capsule Polishing on the Rate of Neodymium: YAG Laser Capsulotomy After Two Multifocal Intraocular Lens Implantation

Lin

Bai

et al. 2022

Front. Med.

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“…In one study, the results posited that lower anterior capsule opaci cation (ACO) and brotic PCO with both round-edged silicone IOLs 3-years postoperatively in eyes which the anterior capsule was extensively polished [16] . A meta-analysis of studies for 1-year or longer follow-up showed that the PCO rate was reduced in the ACP group based on the summary odds ratio on the PCO rate (OR 0.42 95% CI 0.24-0.73) [17] .…”

Section: Discussionmentioning

confidence: 99%

Effect of Anterior Capsule Polishing on the Rate of Neodymium: YAG Laser Capsulotomy in Multifocal Intraocular Lens

Bai

Liu

et al. 2021

Preprint

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Purpose Herein, we elucidated the effect of anterior capsule polishing (ACP) during cataract surgery on the rate of neodymium: YAG (Nd: YAG) laser capsulotomy in multifocal intraocular lens (MIOL). Methods We extracted the medical records of patients who underwent phacoemulsification with MIOL between May 2016 and April 2017 from the files of the patients, and the follow-ups of fewer than 3 years were excluded. The participants were divided into the ACP group and the non- ACP group based on whether the anterior capsule was polished. The primary outcome was whether to perform Nd: YAG capsulotomy during the follow-up. We analyzed the time from IOL implantation to Nd: YAG laser capsulotomy using the Kaplan-Meier survival curves. Results The ACP group comprised 70 eyes and non-ACP group, 60 eyes. One year postoperatively, 7.14% of the eyes in the ACP group and 8.33% in the non-ACP group required Nd: YAG laser capsulotomy (P > 0.99). After 2 years, it was 24.29% and 18.33%, respectively (P = 0.52). After 3 years, it was 30.0% and 28.33% respectively (P = 0.85). There was no distinct difference in the probability for Nd: YAG laser between the ACP group and the non-ACP group evaluated using Kaplan-Meier survival curves (P = 0.81). Patients with implantation of diffractive MIOL (AT LISA tri 839MP) had a high probability of requiring Nd: YAG laser capsulotomy. Conclusion Polishing the anterior capsule had no remarkable effect on reducing the rate of Nd: YAG laser capsulotomy after phacoemulsification in MIOL.

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“…Posterior capsule opacification (PCO) develops regularly after cataract surgery [1]. This unwanted wound healing reaction is thought to originate from lens epithelial cells that remain in the capsular bag after cataract surgery, especially on the inside of the anterior capsule and the capsular equator.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of posterior capsule opacification of the Alcon Clareon IOL vs the Alcon Acrysof IOL using a human capsular bag model

et al. 2020

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Background: Posterior capsule opacification (PCO) after cataract surgery is influenced by intraocular lens (IOL) design and material. The following is an ex vivo comparison of PCO between the Clareon vs. the AcrySof IOL in human capsular bags. Methods: Twenty cadaver capsular bags from 10 human donors were used, with the novel hydrophobic IOL (Clareon, CNA0T0) being implanted in one eye and the other eye of the same donor receiving the AcrySof IOL (SN60WF) following phacoemulsification cataract surgery. Five capsular bags of 3 donors served as controls without IOL. Cellular growth of lens epithelial cells was photo-documented daily. The primary endpoint was the time until full coverage of the posterior capsule by cells. Furthermore, immunofluorescence staining of capsular bags for the fibrotic markers f-actin, fibronectin, alpha smooth muscle actin, and collagen type 1 were performed. Results: The new Clareon IOL did not show any disadvantages in terms of days until full cell coverage of the posterior capsule in comparison to the AcrySof (p > 0.99). Both, the Clareon (p = 0.01, 14.8 days) and the AcrySof IOL (p = 0.005, 15.7 days) showed a slower PCO development in comparison to the control (8.6 days). The fibrotic markers f-actin, fibronectin, alpha smooth muscle actin, and collagen type 1 were equally distributed between the two IOLs and differed from the control. Conclusions: A comparable performance has been found in the ex vivo formation of PCO between the two IOLs. Long-term clinical studies are necessary to reach final conclusions.

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Effect of anterior capsule polish on visual function: A meta-analysis

Cited by 9 publications

References 30 publications

Comparison of Anterior Capsule Polishing on the Rate of Neodymium: YAG Laser Capsulotomy After Two Multifocal Intraocular Lens Implantation

Comparison of Anterior Capsule Polishing on the Rate of Neodymium: YAG Laser Capsulotomy After Two Multifocal Intraocular Lens Implantation

Effect of Anterior Capsule Polishing on the Rate of Neodymium: YAG Laser Capsulotomy in Multifocal Intraocular Lens

Evaluation of posterior capsule opacification of the Alcon Clareon IOL vs the Alcon Acrysof IOL using a human capsular bag model

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