Back to Search
Start Over
Comparison of Nd:YAG Laser Capsulotomy Rates Between Refractive Segmented Multifocal and Multifocal Toric Intraocular Lenses.
- Source :
-
American journal of ophthalmology [Am J Ophthalmol] 2021 Feb; Vol. 222, pp. 359-367. Date of Electronic Publication: 2020 Oct 08. - Publication Year :
- 2021
-
Abstract
- Purpose: To investigate the early incidence of neodymium-doped yttrium aluminum garnet (Nd:YAG) laser capsulotomy according to intraocular lens (IOL) type (nontoric vs toric) and surgical techniques (femtosecond laser-assisted cataract surgery vs conventional phacoemulsification) in eyes with refractive multifocal IOLs.<br />Design: Retrospective case-control study.<br />Methods: Nine hundred thirteen eyes from 483 patients implanted with Lentis Mplus LS-313 MF20 (767 eyes) or Lentis Mplus Toric LU-313 MF20T (146 eyes) IOLs (Oculentis GmbH, Berlin, Germany) were enrolled. We compared the incidence of Nd:YAG laser capsulotomy between the nontoric and toric groups. In addition, the incidence of Nd:YAG laser capsulotomy was also evaluated according to the surgical technique used.<br />Results: The overall incidence of Nd:YAG laser capsulotomy was 10.2% (93/913 eyes). The Nd:YAG laser capsulotomy rate was significantly higher in the toric group (24/146; 16.4%) than in the nontoric group (69/767; 9.0%; P = .007). Of the 913 enrolled eyes, 448 eyes (49.1%) underwent femtosecond laser-assisted cataract surgery and 465 eyes (50.9%) underwent conventional phacoemulsification cataract surgery. There was no significant difference in the incidence of Nd:YAG laser capsulotomy between eyes with femtosecond laser-assisted cataract surgery and eyes with conventional phacoemulsification cataract surgery.<br />Conclusion: Patients with refractive multifocal toric IOLs had higher early incidence rates of Nd:YAG laser capsulotomy when compared to those with refractive multifocal nontoric IOLs. Furthermore, femtosecond laser-assisted cataract surgery could not reduce the early incidence of Nd:YAG laser capsulotomy in this study.<br /> (Copyright © 2020 Elsevier Inc. All rights reserved.)
- Subjects :
- Acrylic Resins
Adult
Aged
Case-Control Studies
Female
Humans
Male
Middle Aged
Prosthesis Design
Retrospective Studies
Capsule Opacification surgery
Cataract Extraction methods
Laser Therapy methods
Lens Implantation, Intraocular methods
Multifocal Intraocular Lenses
Posterior Capsulotomy methods
Subjects
Details
- Language :
- English
- ISSN :
- 1879-1891
- Volume :
- 222
- Database :
- MEDLINE
- Journal :
- American journal of ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- 33039372
- Full Text :
- https://doi.org/10.1016/j.ajo.2020.09.046