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Optical coherence tomography evaluation of posterior capsule opacification related to intraocular lens design
- Source :
- Journal of cataract and refractive surgery. 34(4)
- Publication Year :
- 2007
-
Abstract
- To evaluate posterior capsule opacification (PCO) and the impact of different intraocular lens (IOL) models on PCO characteristics using optical coherence tomography (OCT).Eighty-three eyes with PCO (fibrosis or pearl type) and 32 pseudophakic eyes without PCO were included. Horizontal 3.0 mm long OCT scans of the posterior capsule were obtained. Measurements and means of the peak posterior capsule intensity (PCI) and posterior capsule thickness (PCT) (distance between 2 spikes at posterior capsule) at 3 scan points were recorded. The PCI and PCT were compared with best corrected visual acuity (BCVA) and IOL data.The PCT was high for IOLs with a rounded edge (P = .001) and with poly(methyl methacrylate) (PMMA) IOLs (P.001). If the IOL optic was concave-convex, the PCT was higher than if the optic was biconvex (P = .001). The PCT of hydrophilic acrylic IOLs was higher than of hydrophobic acrylic IOLs (P = .04). Multivariate analysis of PCT showed that PMMA was the only factor statistically associated with PCT (P = .02). The worse logMAR BCVA correlated significantly with a higher PCT value (P.001) but not with PCI (P = .42). An IOL size of 12.5 mm was related to fibrosis-type PCO (odds ratio, 3.14; P = .04).The PCT was most affected by IOL characteristics. Poly(methyl methacrylate) IOLs and IOLs with rounded edges were associated with higher PCT. Hydrophilic acrylic IOLs were associated with greater PCT than hydrophobic IOLs. Posterior capsule thickness was a factor in decreased BCVA.
- Subjects :
- medicine.medical_specialty
Visual acuity
genetic structures
Pseudophakia
medicine.medical_treatment
Acrylic Resins
Lens Capsule, Crystalline
Visual Acuity
Intraocular lens
Prosthesis Design
Cataract
Postoperative Complications
Optical coherence tomography
Lens Implantation, Intraocular
Intraocular lens design
Ophthalmology
medicine
Humans
Polymethyl Methacrylate
Posterior capsule opacification
Aged
Lenses, Intraocular
Phacoemulsification
medicine.diagnostic_test
business.industry
Capsule
equipment and supplies
Fibrosis
eye diseases
Sensory Systems
Surgery
Posterior capsule
sense organs
medicine.symptom
business
Tomography, Optical Coherence
Subjects
Details
- ISSN :
- 08863350
- Volume :
- 34
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Journal of cataract and refractive surgery
- Accession number :
- edsair.doi.dedup.....1b07070df10c70e2b291ea0965fef389