Effect of in-the-bag intraocular lens fixation on the prevention of posterior capsule opacification

Ram, Jagat; Pandey, Suresh K; Apple, David J.; Werner, Liliana; Brar, Gagandeep; Singh, Ramandeep; Chaudhary, Kulbhushan Prakash; Ak, Gupta

doi:10.1016/s0886-3350(00)00841-5

Cited by 79 publications

(45 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[81][82][83][84][85][86][87][88][89] Although all steps of the cataract operation are, of course, important in reducing any complication, we have identified three surgery-related factors and three IOL-related factors that stand out as particularly important in relation to preventing or at least delaying this complication. It is our goal to show that all of these factors as a unit are key to achieving PCO reduction.…”

Section: Two Principles Of Pco Preventionmentioning

confidence: 99%

“…79 In a 1998 meta-analysis, PCO rates of 11.8% after 1 year, 20.7% after 3 years, and 28.4% after 5 years have been reported. 80 Our current data show that with modern surgical techniques, IOL designs and materials the Nd:YAG laser treatment rate for PCO is decreasing [81][82][83][84][85][86][87][88][89] ( Figures 10-12). The validity of this observation can be at least partially verified and documented by tying the information and conclusions gained from clinical studies with the PCO/Nd:YAG laser data.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Post cataract-intraocular lens (IOL) surgery opacification

Trivedi

Werner

Apple

et al. 2002

Eye

View full text Add to dashboard Cite

Intraocular lens (IOL) implantation has no doubt been one of the most satisfying advances of medicine. Millions of individuals with visual disability or frank blindness from cataracts had and continue to have benefit from this procedure. It has been reported by ophthalmologists that the modern cataract-intraocular lens (IOL) surgery is safe and complication-free most of the time. This makes the watchword for any cataract surgeon to be 'implantation,' 'implantation,' 'implantation.' In the mid1980s, as IOLs were evolving rapidly, the watchword of the implant surgeon was 'fixation,' 'fixation,' 'fixation.' Most techniques, lenses and surgical adjuncts now allow us to achieve the basic requirement for successful IOL implantation, namely longterm stable IOL fixation in the capsular bag.However despite this advancement some items 'slipped through cracks.' In this article, we would like to alert the reader to a new watchword, namely 'opacification,' 'opacification,' 'opacification.' Here we will be talking about the good, the bad, and the ugly. Examples of the 'good' include the recent successes now being achieved in reducing the incidence of posterior capsule opacification. Examples of the 'bad' include various proliferations of anterior capsule cells, problems caused by silicone oil adherence to IOLs and problems with piggyback IOLs. The 'ugly' include the sometimes striking and often visually disabling opacifications occurring on and within IOL optics, both on some modern foldable IOLs as well as a poly(methyl methacrylate) (PMMA) optic degradation occurring with some models a decade or more after implantation.

show abstract

Section: Two Principles Of Pco Preventionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Post cataract-intraocular lens (IOL) surgery opacification

Trivedi

Werner

Apple

et al. 2002

Eye

View full text Add to dashboard Cite

show abstract

“…By freeing and rotating the lens nucleus, hydrodissection facilitates lens nucleus and cortex removal without zonular -capsular -rupture. 6 Development of PCO is more dependant on the quality and thoroughness of surgical cortical clean up, especially equatorial lens cells and fibers thereby reducing the incidence of PCO formation. 7 During placement of rigid IOL, in the bag fixation of rigid IOL occurs only about 60 % of time during SICS procedure.…”

Section: Discussionmentioning

confidence: 99%

The Study of Late Post Operative Complications (Pco) Following Small Incision Cataract Surgery with Square Edged Rigid/ Foldable Intraocular Lens Implantation

D¹,

R²,

Samarapuri³

2017

IOSR JDMS

View full text Add to dashboard Cite

“…[23] In-the bag IOL implantation could provide a good centration and reduce the chance of PCO. [24] A primary posterior CCC is recommended by some surgeons for IOL implantation for patients younger than 6 years old. [25] MATERIALS AND METHODS: This study was conducted in our institute over a period of 20months from January 2012 to August 2013.…”

mentioning

confidence: 99%