Posterior Capsule Opacification and Nd:YAG Rates with Two Acrylic Intraocular Lenses after Age-Related Cataract Treatment: Three-year Results

Semin Ophthalmol. 2018;33(3):395-401. doi: 10.1080/08820538.2016.1247182. Epub 2016 Dec 21.

Abstract

Objective: To compare the incidence and intensity of posterior capsule opacification (PCO) between two intraocular lenses (IOLs) over three years.

Methods: Eighty-three patients underwent cataract surgery with implantation of Acreos Adapt AO or Acrysof SA60AT. PCO values were assessed using a photographic image analysis system (EPCO 2000) and the amount of PCO at the slit lamp.

Results: Mean PCO score was 2.78 ± 1.55 for the Acreos Adapt AO and 2.32 ± 1.20 for the Acrysof SA60AT (P=.229). There were no significant differences in the median EPCO values in the entire IOL optics area (0.60 ± 0.26 vs 0.58 ± 0.23; P=.745) and in the central 3-mm zone (0.28 ± 0.13 vs 0.27 ± 0.12; P=.638). Neodymium:YAG capsulotomy was performed in 28% of eyes with Acreos Adapt AO and 23.33% with Acrysof SA60AT (P=.692).

Conclusion: Both IOLs had comparable PCO and Nd:YAG rates three years postoperatively.

Keywords: Cataract extraction; phacoemulsification; posterior capsule; pseudophakia; secondary cataract.

MeSH terms

  • Adult
  • Aged
  • Capsule Opacification / etiology*
  • Capsule Opacification / surgery
  • Cataract Extraction*
  • Equipment Design
  • Female
  • Humans
  • Lasers, Solid-State / therapeutic use*
  • Lens Implantation, Intraocular / adverse effects
  • Lens Implantation, Intraocular / methods*
  • Lenses, Intraocular / adverse effects*
  • Male
  • Middle Aged
  • Posterior Capsulotomy / statistics & numerical data*
  • Visual Acuity