Effect of four different intraocular lenses on posterior capsule opacification
Effect of four different intraocular lenses on posterior capsule opacification
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DOI：
10.3980/j.issn.2222-3959.2015.01.22
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发表时间：
2015-02-18
影响因子：
1.4
通讯作者：
Ates, Can
中科院分区：
文献类型：
--
作者：
Duman, Rahmi;Karel, Fatih;Ates, Can
目的：通过比较钕钇铝石榴石（Nd：YAG）激光囊切开术率，评价4种不同人工晶状体（IOL）对后囊膜安抚（PCO）的影响。方法：本回顾性研究包括2000年1月至2008年1月由同一外科医生在一家诊所进行超声乳化和IOL植入术的4013例白内障患者的4970只眼。评估了4种不同的IOL。结果：在4970只眼中，153只眼（3.07%）进行了Nd：YAG激光后囊膜切开术。所有IOL组的平均随访时间为84个月。丙烯酸亲水性IOL的患眼发生PCO的百分比显著高于疏水性10 L，尽管丙烯酸亲水性10 L的患眼不像丙烯酸疏水性10 L的患眼那样需要Nd：YAG激光晶状体囊切开术。有长期PCO率之间没有差异时，1和3件丙烯酸疏水性10 L进行了比较，或当10 L由相同的材料，但不同的haple anglewascompared.CONCLUSION：在这项研究中，与丙烯酸亲水性10 L的眼睛更容易发展PCO比那些与丙烯酸疏水性10 L。透镜设计（1件式与3件式以及不同支撑襻角度）不影响PCO发生率。
AIM: To evaluate the impact of 4 different intraocular lenses (IOLs) on posterior capsule pacification (PCO) by comparing the neodymium: yttrium -aluminum -garnet (Nd:YAG) laser capsulotomy rates.METHODS: This retrospective study included 4970 eyes of 4013 cataract patients who underwent phacoemulsification and IOL implantation between January 2000 and January 2008 by the same surgeon at one clinic. Four different IOLs were assessed. The outcome parameter was the incidence of Nd:YAG laser posterior capsulotomies.RESULTS: An Nd:YAG laser posterior capsulotomy was performed in 153 (3.07%) of the 4970 eyes. The mean follow-up time was 84mo for all of the IOL groups. The percentage of eyes developing PCO was significantly greater for the acrylic hydrophilic IOLs than for the hydrophobic 10Ls, although eyes with acrylic hydrophilic 10Ls did not require Nd:YAG laser capsulotomy as soon as eyes with acrylic hydrophobic 10Ls. There was no difference between the long-term PCO rates when 1 and 3-piece acrylic hydrophobic 10Ls were compared or when 10Ls made of the same material but with different haptic angles were compared.CONCLUSION: In this study, eyes with acrylic hydrophilic 10Ls were more likely to develop PCO than those with acrylic hydrophobic 10Ls. The lens design (1-piece versus 3-piece and varying haptic angles) did not affect the PCO rate.