Posterior capsule opacification: silicone plate-haptic versus AcrySof intraocular lenses.
OBJECTIVE
To evaluate posterior capsule opacification (PCO) in fellow eyes, 1 receiving a silicone intraocular lens (IOL) and the other, an acrylate IOL.


METHODS
Department of Ophthalmology, Isala Clinics, Zwolle, The Netherlands.


METHODS
This retrospective study comprised 107 patients (214 eyes). In each patient, 1 eye was randomly selected to have implantation of an acrylate IOL (AcrySof MA30BA or MA60BM, Alcon) and the other eye, a plate-haptic silicone IOL (AA4203VF, Staar). Outcome measures were the total PCO index, percentage of neodymium:YAG (Nd:YAG) capsulotomies performed, and logMAR best corrected visual acuity (BCVA). The follow-up was 3 years.


RESULTS
The total PCO index was significantly lower in the AcrySof group than in the plate-haptic silicone group (P<.0001). There was no significant difference in logMAR BCVA between groups (P>.05). The percentage of Nd:YAG laser treatments was significantly lower in the AcrySof group (2.8%) than in the plate-haptic silicone group (23.1%) (P<.05).


CONCLUSIONS
There was significantly less PCO and a lower Nd:YAG laser capsulotomy rate after AcrySof IOL implantation than after plate-haptic silicone IOL implantation. These results did not seem to affect the logMAR BCVA as there were no significant differences between groups in this parameter.
Abhilakh Missier
Kiran A
KA
Department of Ophthalmology, Academic Hospital Maastricht, Maastricht, The Netherlands. rnu@soog.azn.nl
Nuijts
Rudy M M A
RM
Tjia
Khiun F
KF
D000180:Acrylic Resins / Q000009:adverse effects*; D000368:Aged; D002386:Cataract / Q000209:etiology* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy; D007903:Lens Capsule, Crystalline / Q000473:pathology* / Q000601:surgery; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008297:Male; D018918:Phacoemulsification; D011183:Postoperative Complications; D012189:Retrospective Studies; D012826:Silicone Elastomers / Q000009:adverse effects*; D014792:Visual Acuity
D000180:Acrylic Resins; D012826:Silicone Elastomers