Impact of anterior capsule polishing on anterior capsule opacification after cataract surgery: a randomized clinical trial

Shah, Sajani K.; Praveen, Mamidipudi R.; Kaul, Arvind; Vasavada, Abhay R.; Shah, Gauri D.; Nihalani, Bharti R.

doi:10.1038/eye.2008.355

Cited by 24 publications

(32 citation statements)

References 28 publications

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“…4,5 A surgical strategy for ACO prevention is polishing the inner surface of the anterior capsule, which resulted in significantly less ACO than in eyes with unpolished capsules 3 years after surgery in a prospective bilateral randomized patient-and examiner-masked clinical trial. 18 Another prospective randomized observational double-masked clinical trial 19 comprising 120 eyes of 60 consecutive patients found that ACO was significantly lower at 1 month in cases in which the anterior capsule was polished than in cases in which it was not polished. However, the difference in ACO between the 2 groups was insignificant at 6 months.…”

Section: Discussionmentioning

confidence: 98%

Prevention of capsular bag opacification with a new hydrophilic acrylic disk-shaped intraocular lens

Kavoussi

Werner

Fuller

et al. 2011

Journal of Cataract and Refractive Surgery

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Section: Discussionmentioning

confidence: 98%

Prevention of capsular bag opacification with a new hydrophilic acrylic disk-shaped intraocular lens

Kavoussi

Werner

Fuller

et al. 2011

Journal of Cataract and Refractive Surgery

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“…Anterior capsule polishing or vacuum cleaning of the anterior and posterior capsules was not performed. 35 After the absence of visible lens matter (nucleus and cortex) in the capsular bag was confirmed, the anterior chamber was filled with an ophthalmic viscosurgical device (OVD). The IOL was injected into the bag with an injector without enlarging the main incision.…”

Section: Surgical Techniquementioning

confidence: 99%

Comparison of posterior capsule opacification with hydrophobic acrylic and hydrophilic acrylic intraocular lenses

Vasavada¹,

Raj²,

Shah³

et al. 2011

Journal of Cataract and Refractive Surgery

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“…There are many studies concerning the influence of anterior capsule polishing during surgeries involving the implantation of different IOLs on anterior capsule opacification (ACO), posterior capsule opacification (PCO), and the size of the capsulorhexis opening [11, 13, 14, 17]. However, few studies have assessed the effects of anterior capsule polishing on ELP or the axial position stability of IOL.…”

Section: Discussionmentioning

confidence: 99%

Effects of Residual Anterior Lens Epithelial Cell Removal on Axial Position of Intraocular Lens after Cataract Surgery

Bang

Yoo

Jun

et al. 2018

Journal of Ophthalmology

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Purpose The aim of this study was to assess the effects of residual anterior lens epithelial cell (LEC) removal by anterior capsule polishing on the effective lens position (ELP) and axial position stability of the intraocular lens (IOL) after cataract surgery via postoperative measurement of the anterior chamber depth. Methods We enrolled 30 patients (60 eyes) requiring bilateral cataract surgery for age-related cataracts. Meticulous anterior capsule polishing and removal of residual LECs under the capsule were performed using a bimanual irrigation/aspiration system for one randomly selected eye in each patient. The eye without polishing served as a control. ELP was measured at five different time points after surgery, and axial shifting of IOL was determined at each visit by comparison with the position at the previous visit. Results The polishing and control groups showed significant differences with regard to the mean ELP at 1 (3.40 ± 0.29 versus 3.53 ± 0.32 mm, resp.; p=0.026) and 2 months (3.42 ± 0.32 versus 3.61 ± 0.35 mm, resp.; p=0.001) after surgery, the mean standard deviation for the five ELP values (0.087 ± 0.093 versus 0.159 ± 0.138 mm, p=0.001), and the root mean square of the change in ELP at each follow-up visit (0.124 ± 0.034 versus 0.246 ± 0.038 mm, p=0.047). The eyes in the control group exhibited a tendency for backward IOL movement with a concurrent hyperopic shift in refraction of approximately 0.2 diopter at 2 months after surgery. Conclusion Our findings suggest that residual anterior LEC polishing enhances the axial position stability of IOLs, without any complications, after cataract surgery.

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Impact of anterior capsule polishing on anterior capsule opacification after cataract surgery: a randomized clinical trial

Abstract: Aims To evaluate the effect of anterior capsule polishing on the development of anterior capsule opacification (ACO) in patients undergoing cataract surgery.

Cited by 24 publications

References 28 publications

Prevention of capsular bag opacification with a new hydrophilic acrylic disk-shaped intraocular lens

Prevention of capsular bag opacification with a new hydrophilic acrylic disk-shaped intraocular lens

Comparison of posterior capsule opacification with hydrophobic acrylic and hydrophilic acrylic intraocular lenses

Effects of Residual Anterior Lens Epithelial Cell Removal on Axial Position of Intraocular Lens after Cataract Surgery

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