Posterior capsule opacification with 3 intraocular lenses: 12-year prospective study

Rønbeck, Margrethe; Kugelberg, Maria

doi:10.1016/j.jcrs.2013.07.039

Cited by 40 publications

(34 citation statements)

References 24 publications

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“…Few papers report PCO evaluation more than four years after surgery. Ronbeck et al 8 reported that hydrophobic acrylic IOLs delayed PCO development, with a median time of survival without Nd:YAG capsulotomy of 108 months. PCO rates were reported for approximately 50% of the patients approximately 10 years after surgery.…”

Section: Discussionmentioning

confidence: 99%

Long-term efficiency of cataract surgery with hydrophilic acrylic Ioflex intraocular lens

Jorge¹,

Koch²,

Jorge³

et al. 2017

Clinics

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OBJECTIVE:To evaluate the efficiency of long-term cataract surgery using low-cost intraocular lens implantation in community campaigns.METHODS:Fifty-eight randomly selected patients were evaluated four years after phacoemulsification and Ioflex intraocular lens implantation. Causes of low visual acuity related to the intraocular lens were evaluated, and treatment costs were calculated.RESULTS:The mean age of patients was 72±10.2 years. Four years after surgery, 25 eyes (43.0%) had decreased visual acuity related to the intraocular lens: posterior capsule opacification was noted in 24 eyes (41.3%), and intraocular lens opacification was noted in one eye (1.7%). The total cost of the post-surgical complication treatments represented 6.3% of the initial budget of the entire surgical patient group.CONCLUSIONS:The efficiency of cataract surgery with low-cost Ioflex intraocular lens implantation was significantly reduced in a long-term follow-up study because postoperative complications related to intraocular lenses emerged at higher rates than when the gold-standard treatment was used.

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Section: Discussionmentioning

confidence: 99%

Long-term efficiency of cataract surgery with hydrophilic acrylic Ioflex intraocular lens

Jorge¹,

Koch²,

Jorge³

et al. 2017

Clinics

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“…A recent report showed that indeed the silicone IOL with a round edge was as good as the acrylic IOL with a sharp edge in the prevention of PCO during the long-term follow-up. 18 …”

Section: Discussionmentioning

confidence: 99%

“…However, interestingly, in a long-term follow-up, a sharp optic edge design that did not result in diminution of PCO was reported with the use of hydrophobic acrylic IOLs when compared with silicone IOLs without a sharp-edged optic. 12 , 18 Further studies of silicone IOLs in this regard would be useful.…”

Section: Introductionmentioning

confidence: 99%

Epidemiological evaluation of YAG capsulotomy incidence for posterior capsule opacification in various intraocular lenses in Japanese eyes

Nishi

Ikeda

Nishi

et al. 2015

OPTH

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Background and objectiveWe investigated the yttrium aluminum garnet (YAG) capsulotomy rates in various intraocular lenses (IOLs).Study design/patients and methodsWe retrospectively analyzed 23,440 eyes implanted with either MA60BM, MA60AC, VA-60BB, CeeOnEdge, Clariflex, Technis Z9002, SI-40NB, or UV26T IOLs. We calculated the YAG capsulotomy rates at 1, 3, 5, and 10 years post lens implantation.ResultsYAG capsulotomy rates at 3 years postimplantation for the eight groups of IOLs were, respectively, 3.7%, 3.9%, 23.7%, 3.4%, 4.5%, 4.7%, 10.4%, and 21.0%. YAG capsulotomy rates at 10 years postimplantation for the MA60BM and SI-40NB IOLs were, respectively, 9.1% and 15% (P<0.05). The average YAG rates for all sharp-edged and round-edged IOLs at 5 years postimplantation were, respectively, 5.2%±0.7% and 25.6%±9.0% (P<0.05).ConclusionIn all studied IOLs, posterior capsule opacification prevention seemed to be associated with the posterior optic sharp-edge design. Round-edged silicone IOLs may also retard posterior capsule opacification formation, though not as much as sharp-edged IOLs. As the follow-up period progressed, round-edged silicone IOLs showed significantly higher YAG rates than sharp-edged IOLs.

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“…Other studies confirmed that HSM PMMA have good uveal biocompatibility in uveitic patients. [ 43 44 ] However, Rønbeck and Kugelberg[ 45 ] made a 12-year prospective study on PCO rate of HSM PMMA, silicone, and hydrophobic acrylic IOL and concluded that HSM PMMA IOL had a significantly higher PCO rate. The different PCO rates with different IOL materials showed that both “material surface factor” and “design factor” were important.…”

Section: H Eparin-surface-modified P Olymentioning

confidence: 99%

Surface Modification of Intraocular Lenses

Huang

Cheng

Chiu

et al. 2016

Chinese Medical Journal

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Objective:This paper aimed to review the current literature on the surface modification of intraocular lenses (IOLs).Data Sources:All articles about surface modification of IOLs published up to 2015 were identified through a literature search on both PubMed and ScienceDirect.Study Selection:The articles on the surface modification of IOLs were included, but those on design modification and surface coating were excluded.Results:Technology of surface modification included plasma, ion beam, layer-by-layer self-assembly, ultraviolet radiation, and ozone. The main molecules introduced into IOLs surface were poly (ethylene glycol), polyhedral oligomeric silsesquioxane, 2-methacryloyloxyethyl phosphorylcholine, TiO2, heparin, F-heparin, titanium, titanium nitride, vinyl pyrrolidone, and inhibitors of cytokines. The surface modification either resulted in a more hydrophobic lens, a more hydrophilic lens, or a lens with a hydrophilic anterior and hydrophobic posterior surface. Advances in research regarding surface modification of IOLs had led to a better biocompatibility in both in vitro and animal experiments.Conclusion:The surface modification is an efficient, convenient, economic and promising method to improve the biocompatibility of IOLs.

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Posterior capsule opacification with 3 intraocular lenses: 12-year prospective study

Abstract: After 12 years, there was no difference in PCO or overall survival without capsulotomy between the acrylic IOL and the silicone IOL. The HSM PMMA IOL had a significantly higher PCO fraction than the silicone IOL and lower overall survival than the acrylic IOL.

Cited by 40 publications

References 24 publications

Long-term efficiency of cataract surgery with hydrophilic acrylic Ioflex intraocular lens

Long-term efficiency of cataract surgery with hydrophilic acrylic Ioflex intraocular lens

Epidemiological evaluation of YAG capsulotomy incidence for posterior capsule opacification in various intraocular lenses in Japanese eyes

Surface Modification of Intraocular Lenses

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