Incidence of Nd:YAG laser capsulotomies after cataract surgery: comparison of 3 square-edged lenses of different composition

Boureau, C; Lafuma, A; Jeanbat, Viviane; Berdeaux, G; Smith, Andrew F.

doi:10.3129/i09-007

Cited by 20 publications

(27 citation statements)

References 15 publications

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“…Other studies have reported both higher rates with equal follow-up time and lower rates with shorter the follow-up time (Kohnen et al 2008;Boureau et al 2009b). The mean follow-up time was the shortest in the Akreos Adapt group, but the Nd:YAG capsulotomy rate was the highest.…”

Section: Discussionmentioning

confidence: 97%

“…The overall rate of Nd:YAG capsulotomy following uncomplicated cataract surgery in this study was 7.9% and within normal rates for modern cataract surgery, considering the follow-up time. Other studies have reported both higher rates with equal follow-up time and lower rates with shorter the follow-up time (Kohnen et al 2008;Boureau et al 2009b). The mean follow-up time was the shortest in the Akreos Adapt group, but the Nd:YAG capsulotomy rate was the highest.…”

Section: Discussionmentioning

confidence: 97%

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Economic considerations related to choice of intraocular lens (IOL) and posterior capsule opacification frequency – a comparison of three different IOLs

Cullin

Busch

Lundström

2012

Acta Ophthalmologica

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ABSTRACT.Purpose: To evaluate the posterior capsule opacification (PCO) rates in three different modern standard intraocular lenses (IOL) and analyse the related cost. Methods: Retrospective study of medical records from 1527 patients who underwent uneventful cataract surgery by phacoemulsification with posterior chamber implantation of either AcrySof SN60 (n = 375), Akreos Adapt (n = 350) or Tecnis Acryl IOL (n = 801). All surgeries were performed by the same surgeon using the same surgical technique and equipment. Primary end-point was neodymium:yttrium-aluminium-garnet (Nd:YAG) capsulotomy for visual impairment secondary to PCO. Cost of IOL material and Nd:YAG capsulotomy for PCO was then evaluated and compared between the IOLs. Results: Mean follow-up was 41.5 months, and the only statistically significant variable of developing PCO was IOL type and individual follow-up time. Nd:YAG capsulotomy was performed in 7.47% in the AcrySof group, 17.71% in the Akreos group and 3.75% in the Tecnis group. Average cost for Nd:YAG capsulotomy per surgery was €18.75 in the AcrySof SN60 group, €44.25 in the Akreos Adapt group and €9.25 in the Tecnis Acryl group. The combined cost of cataract surgery and PCO treatment was €9.81 higher in for the Akreos Adapt group than the other two combined.Conclusions: This retrospective study shows that the risk of PCO and Nd:YAG capsulotomy is significantly higher in hydrophilic Akreos IOL compared with both AcrySof and Tecnis hydrophobic IOLs. The increased risk of PCO in the hydrophilic IOL is related to higher total average costs for cataract surgery.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 97%

Economic considerations related to choice of intraocular lens (IOL) and posterior capsule opacification frequency – a comparison of three different IOLs

Cullin

Busch

Lundström

2012

Acta Ophthalmologica

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“…23,24,[32][33][34][35] In the case of Nd:YAG laser treatment, however, a retrospective design makes it possible to control for observational bias; that is, physicians are not influenced by trial participation and thus the data represent everyday practice. Another limitation is that patient assignment to IOL model was not random, which may have led to selection bias.…”

Section: Discussionmentioning

confidence: 99%

Neodymium:YAG laser rates after bilateral implantation of hydrophobic or hydrophilic multifocal intraocular lenses: Twenty-four month retrospective comparative study

Gauthier

Lafuma

Laurendeau

et al. 2010

Journal of Cataract and Refractive Surgery

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“…Also, the YAG rate in our study is similar compared to previous studies conducted with comparable follow‐up times and acrylic hydrophobic lenses. (Boureau et al. 2009a,b; Ronbeck et al.…”

Section: Discussionmentioning

confidence: 99%

Intracameral mydriatics in phacoemulsification cataract surgery – a 6‐year follow‐up

Lundberg

Behndig

2012

Acta Ophthalmologica

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ABSTRACT.Purpose: To evaluate the long-term safety of intracameral mydriatics (ICM) in phacoemulsification cataract surgery compared with conventional topical mydriatics (TM). Methods: A total of 45 patients were examined 6 years after phacoemulsification cataract surgery. The patients had previously participated in a prospective randomized double-blind study including 60 patients, operated with either ICM or TM. The follow-up included best-corrected visual acuity (BCVA), intraocular pressure (IOP), grade of posterior capsule opacification (PCO), YAG laser capsulotomy rate, pupil size, corneal thickness and endothelial morphology. Results: No differences in postoperative BCVA, IOP, pupil size, PCO or YAG rate were observed between the groups. Endothelial cell loss, endothelial morphology and corneal thickness were also equivalent. Conclusions: Intracameral mydriatics is a safe alternative to topical mydriatics in phacoemulsification cataract surgery with no long-term disadvantages at 6-year follow-up.

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Incidence of Nd:YAG laser capsulotomies after cataract surgery: comparison of 3 square-edged lenses of different composition

Cited by 20 publications

References 15 publications

Economic considerations related to choice of intraocular lens (IOL) and posterior capsule opacification frequency – a comparison of three different IOLs

Economic considerations related to choice of intraocular lens (IOL) and posterior capsule opacification frequency – a comparison of three different IOLs

Neodymium:YAG laser rates after bilateral implantation of hydrophobic or hydrophilic multifocal intraocular lenses: Twenty-four month retrospective comparative study

Intracameral mydriatics in phacoemulsification cataract surgery – a 6‐year follow‐up

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