Neodymium:YAG laser posterior capsulotomy after implantation of AcrySof intraocular lenses

Davison, James A.

doi:10.1016/j.jcrs.2003.11.042

Cited by 37 publications

(29 citation statements)

References 64 publications

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“…In the literature, PMMA IOLs are associated with the highest incidence of PCO. 1,2,4,8,33 A recent review 30 confirms that a polished IOL optic surface plays an important role in reducing LEC cell migration and adhesion to the lens optic. Hence, the submicrometric morphology and regularity of the IOL optic surface should be an additional factor in the migration and adhesion of LECs to the lens optic.…”

Section: Discussionmentioning

confidence: 96%

“…3,4,23 The role of a square-edged IOL optic in reducing PCO rates, independent of the IOL material, is well documented. 5,14,15,20,24,25 However, whether PCO is influenced by the IOL material remains controversial, 2,13,14,20,23,26,28 mainly due to the complexity of managing long-term prospective clinical studies directly comparing the PCO rate after implantation of different types of IOLs.…”

Section: Discussionmentioning

confidence: 99%

“…1 However, posterior capsule opacification (PCO) remains a significant cause of visual impairment after cataract surgery. [2][3][4] The main surgical strategies to minimize the incidence of PCO include a central, well-positioned curvilinear capsulorhexis that overlaps the anterior edge of the IOL optic and the removal of as many equatorial lens epithelial cells (LECs) as possible through rigorous cortical cleanup. 5 Also, the IOL's vertical edge configuration can substantially decrease PCO occurrence, 5% to 15% at 5 years postoperative.…”

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confidence: 99%

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Analysis of intraocular lens surface properties with atomic force microscopy

Lombardo¹,

Santo²,

Lombardo³

et al. 2006

Journal of Cataract and Refractive Surgery

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Analysis of intraocular lens surface properties with atomic force microscopy

Lombardo¹,

Santo²,

Lombardo³

et al. 2006

Journal of Cataract and Refractive Surgery

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“…Posterior capsulotomy was used as the measurement of PCO. Davison (2004) reviewed over 12 000 consecutive cases of patients who underwent phacoemulsification and AcrySof Ò IOL implantation from January 1995 to December 2002. The total capsulotomy rate in this population, which had up to 7 years of follow-up, was 6.1%.…”

Section: Introductionmentioning

confidence: 99%

Posterior capsule opacification: comparisons between morphology, visual acuity and self‐assessed visual function

Sundelin

Lundström²,

Stenevi

2006

Acta Ophthalmologica Scandinavica

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ABSTRACT.Purpose: To investigate whether posterior capsule opacification (PCO) morphology, visual acuity (VA) and self-assessed visual function correlate, and to compare perceived visual disabilities with those of cataract patients with corresponding VA. Methods: Twenty-one patients with PCO were examined before capsulotomy. In adjunct to the ophthalmological examination, the patients completed a Catquest questionnaire and a digitized retroillumation image was acquired. The images were analysed with the Evaluation of Posterior Capsule Opacification (EPCO) program. Data for visual function were compared with data from the National Swedish Cataract Register (NCR). Results:The epco values were correlated with VA in the PCO eyes: the higher the epco score, the lower the VA. There were also correlations between the epco scores, satisfaction with vision, and perceived disabilities in daily life. Symptoms of glare were not significantly correlated with epco scores or with VA. Visual acuity in PCO eyes was better correlated with perceived disabilities and satisfaction with vision than VA in eyes with cataract. Conclusions: There was a significant correlation between epco scores and VA and between epco scores and Catquest. Consequently, the morphological method was related to the self-assessed visual function. Patients with PCO seemed to have more disturbed visual function, as defined by Catquest, than cataract patients with the same VA.

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“…To date, only improvement in surgical techniques, IOL designs, and IOL biomaterials 9 have substantially reduced PCO 10,11 ; however, they have not eradicated it, especially in pediatric and uveitis patients. [12][13][14][15] Moreover, surgical removal of the central part of the posterior capsule with a posterior continuous curvilinear capsulorhexis (PCCC), 16 first described by Gimbel and Neuhann, 17 does not prevent LEC migration, 18,19 especially in compromised eyes.…”

mentioning

confidence: 99%