COMPARISON OF POSTERIOR CAPSULE OPACIFICATION AFTER IMPLANTATION OF SAME DESIGN SINGLE-PIECE HYDROPHILIC AND HYDROPHOBIC ACRYLIC INTRAOCULAR LENSES. 2020

M Dvali, and O Tsertsvadze, and G Mekvabishvili
Tbilisi State Medical University, Department of Eye Disease; Eye clinic "Akhali Mzera", Tbilisi, Georgia.

The aim of the study was to determine the correlation between implanted IOL material type and posterior capsule opacification. At 12 month, there was no statistically and visually significant changes in all controlled groups. At 18 month, 3 eyes (5.2%) from Group 2 and 1 eye (5.8%) from hydrophobic arm of Group 3 had visually significant PCO and underwent Nd:YAG laser posterior capsulotomy. 8 eyes (10.8%) in group 1 and 3 eyes (17.6%) in hydrophilic arm of Group 3 required Nd:YAG laser posterior capsulotomy. At 3, 6, and 12 month compared to baseline (1 month postoperatively), there was no statistically and clinically significant difference in visual acuity and subjective refraction between the groups. At 12 month, 3 patients (4%) from group 1 and 1 patient (6%) from hydrophilic arm of group 3 complained of glare sensitivity, especially in mesopic conditions. At that point, interestingly, no patient from Group 2 and hydrophobic arm of Group 3 complained about glare sensitivity. In terms of UCDVA, 68 eyes of group 1 (91%) achieved 20/20 or better distance vision, 71 eyes (96%) achieved 20/25 distance vision. In Group 2, 50 eyes (87%) achieved 20/20 or better distance vision, 52 eyes (92%) achieved 20/25 distance vision. In Group 3, 14 eyes (82%) of hydrophilic arm achieved 20/20 or better distance vision and 15 eyes (88%) achieved 20/25 distance vision. In hydrophobic arm of group 3, 16 eyes (94%) achieved 20/20 or better distance vision. UCDVA was examined with ClearChart 2 Digital Acuity System (Reichert Technologies), using Landolt C optotypes. Biometry data was acquired by IOLMaster-500 (Carl Zeiss, Meditec). Contrast sensitivity was evaluated with ClearChart 2 Digital Acuity System (Reichert Technologies), using Pelli-Robson Contrast Sensitivity Chart. At 1, 3, 6, month there was no statistically significant difference between controlled groups in terms of contrast sensitivity. At 12 month, 5 patients (6%) from Group 1 and 3 patients (17%) from Group 3 hydrophilic arm had slightly decreased contrast sensitivity. There was no changes in contrast sensitivity in eyes of Group 2 at 12 month period. The study is still ongoing. The patients will be evaluated at 24 month and 36 month postoperatively.

UI MeSH Term Description Entries
D007910 Lenses, Intraocular Artificial implanted lenses. Implantable Contact Lens,Lens, Intraocular,Contact Lens, Implantable,Intraocular Lens,Intraocular Lenses,Lens, Implantable Contact
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D002386 Cataract Partial or complete opacity on or in the lens or capsule of one or both eyes, impairing vision or causing blindness. The many kinds of cataract are classified by their morphology (size, shape, location) or etiology (cause and time of occurrence). (Dorland, 27th ed) Cataract, Membranous,Lens Opacities,Pseudoaphakia,Cataracts,Cataracts, Membranous,Lens Opacity,Membranous Cataract,Membranous Cataracts,Opacities, Lens,Opacity, Lens,Pseudoaphakias
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000180 Acrylic Resins Polymers of high molecular weight which are derived from acrylic acid, methacrylic acid or other related compounds and are capable of being molded and then hardened to form useful components. Acrylic Resin,Resin, Acrylic,Resins, Acrylic
D058442 Capsule Opacification Clouding or loss of transparency of the posterior lens capsule, usually following CATARACT extraction. Secondary Cataract,Capsule Opacifications,Cataract, Secondary,Cataracts, Secondary,Opacification, Capsule,Opacifications, Capsule,Secondary Cataracts
D019654 Lens Implantation, Intraocular Insertion of an artificial lens to replace the natural CRYSTALLINE LENS after CATARACT EXTRACTION or to supplement the natural lens which is left in place. Implantation, Intraocular Lens,Implantations, Intraocular Lens,Intraocular Lens Implantation,Intraocular Lens Implantations,Lens Implantations, Intraocular

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