title: Posterior capsule opacification: silicone plate-haptic versus AcrySof intraocular lenses.
abstract: 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.
authors.affiliation: Department of Ophthalmology, Academic Hospital Maastricht, Maastricht, The Netherlands. rnu@soog.azn.nl
authors.forename: Kiran A
authors.initials: KA
authors.lastname: Abhilakh Missier
authors.forename: Rudy M M A
authors.initials: RM
authors.lastname: Nuijts
authors.forename: Khiun F
authors.initials: KF
authors.lastname: Tjia
mesh_terms: 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
chemical_list: D000180:Acrylic Resins; D012826:Silicone Elastomers