Comparison of the Incidence of Nd:YAG Laser Capsulotomy Based on the Type of Intraocular Lens.
Medicina (Kaunas)
; 59(12)2023 Dec 14.
Article
in En
| MEDLINE
| ID: mdl-38138276
ABSTRACT
Background and Objectives:
Posterior capsular opacification (PCO) is the most common long-term complication of successful cataract surgery and can cause visual impairment. We aimed to investigate the effects of intraocular lens (IOL) characteristics on PCO by comparing the incidence of neodymium-doped yttrium aluminum garnet (NdYAG) laser capsulotomy for different types of intraocular lenses. Materials andMethods:
A retrospective analysis was performed on 2866 eyes that underwent cataract surgery between January 2010 and December 2017, with at least 5 years of follow-up. The IOLs used for surgery were the hydrophobic lenses SN60WF (Alcon, Fort Worth, TX, USA), ZCB00 (Johnson & Johnson Vision, Santa Ana, CA, USA), and MX60 (Bausch & Lomb, Rochester, NY, USA), and the hydrophilic lens MI60 (Bausch & Lomb, Rochester, NY, USA). We analyzed the incidence of NdYAG laser capsulotomy according to the type of IOL used.Results:
The incidence of NdYAG laser capsulotomy was significantly higher with MI60 lenses (31.70%, 175/552 eyes) compared to SN60WF (7.90%, 113/1431 eyes), ZCB00 (10.06%, 64/636 eyes), and MX60 (10.57%, 13/123 eyes; p < 0.001) lenses. The incidence of NdYAG laser capsulotomy was significantly lower with the hydrophobic IOLs (8.68%, 190/2190 eyes) than with the hydrophilic IOL (31.70%, 175/552 eyes; p < 0.001). Over time, the rate of increase in the cumulative number of NdYAG laser capsulotomy cases was the highest with MI60. The cumulative rate of NdYAG laser capsulotomy during the first 3 years was 4.90% with SN60WF (70/1431 eyes), 6.76% with ZCB00 (43/636 eyes), 8.94% with MX60 (11/123 eyes), and 26.10% with MI60 (144/552 eyes) lenses.Conclusions:
The incidence of PCO is influenced by the material of the IOLs. The hydrophilic IOL was associated with a higher rate of NdYAG laser capsulotomy than the hydrophobic IOLs, with a shorter time to NdYAG laser capsulotomy.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cataract
/
Phacoemulsification
/
Lasers, Solid-State
/
Capsule Opacification
/
Lenses, Intraocular
Limits:
Humans
Language:
En
Journal:
Medicina (Kaunas)
Journal subject:
MEDICINA
Year:
2023
Document type:
Article