PMID- 19545814
OWN - NLM
STAT- MEDLINE
DCOM- 20090904
LR  - 20220318
IS  - 1873-4502 (Electronic)
IS  - 0886-3350 (Linking)
VI  - 35
IP  - 7
DP  - 2009 Jul
TI  - Comparison of the incidence and visual significance of posterior capsule 
      opacification between multifocal spherical, monofocal spherical, and monofocal 
      aspheric intraocular lenses.
PG  - 1234-8
LID - 10.1016/j.jcrs.2009.03.013 [doi]
AB  - PURPOSE: To determine and compare the incidence of posterior capsule 
      opacification (PCO) and neodymium:YAG (Nd:YAG) laser capsulotomy after 
      implantation of 3 intraocular lens types (IOLs). SETTING: Storm Eye Institute, 
      Medical University of South Carolina, Charleston, South Carolina, USA. METHODS: 
      This retrospective chart review comprised eyes having uneventful 
      phacoemulsification and implantation of 1 of 3 AcrySof IOLs: ReSTOR SN60D3 
      (multifocal spherical group), Natural SN60AT (monofocal spherical group), or IQ 
      SN60WF (monofocal aspheric group). Eyes were matched by age, sex, and follow-up. 
      The PCO rate, Nd:YAG capsulotomy rate, time from surgery to PCO diagnosis, and 
      time from surgery to Nd:YAG capsulotomy were assessed. RESULTS: Charts of 225 
      eyes (75 in each group) with a mean follow-up of 15.9 months +/- 6.5 (SD) were 
      evaluated. The PCO rate was 42.7% in the multifocal spherical group, 28.0% in the 
      monofocal spherical group, and 14.7% in the monofocal aspheric group. The Nd:YAG 
      capsulotomy rate was 25.3%, 17.3%, and 4.0%, respectively. The difference in the 
      Nd:YAG rate was statistically significantly higher in the multifocal and 
      monofocal spherical groups than in the monofocal aspheric group (P<.001 and 
      P<.008, respectively) but was not significantly different between the 2 spherical 
      IOL groups (P = .232). The time from surgery to PCO documentation was not 
      significantly different between the 3 groups. CONCLUSIONS: Intraocular lens 
      configuration may have contributed to the difference in the PCO rate between the 
      2 spherical IOLs and the aspheric IOL. Based on the Nd:YAG rate as an indicator 
      for visual significance, PCO may be less visually significant in eyes with the 
      aspheric IOL than in eyes with 1 of the spherical IOLs.
FAU - Biber, Joseph M
AU  - Biber JM
AD  - Magill Research Center for Vision Correction, Storm Eye Institute, Medical 
      University of South Carolina, Charleston, South Carolina 29425, USA.
FAU - Sandoval, Helga P
AU  - Sandoval HP
FAU - Trivedi, Rupal H
AU  - Trivedi RH
FAU - de Castro, Luis E Fernandez
AU  - de Castro LE
FAU - French, John W
AU  - French JW
FAU - Solomon, Kerry D
AU  - Solomon KD
LA  - eng
GR  - EY14793/EY/NEI NIH HHS/United States
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Cataract Refract Surg
JT  - Journal of cataract and refractive surgery
JID - 8604171
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cataract/*etiology/therapy
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Incidence
MH  - Laser Therapy
MH  - Lasers, Solid-State/therapeutic use
MH  - Lens Capsule, Crystalline/*pathology/surgery
MH  - Lens Implantation, Intraocular
MH  - *Lenses, Intraocular
MH  - Male
MH  - Middle Aged
MH  - *Phacoemulsification
MH  - *Postoperative Complications
MH  - Pseudophakia/physiopathology
MH  - Retrospective Studies
MH  - Visual Acuity/*physiology
EDAT- 2009/06/24 09:00
MHDA- 2009/09/05 06:00
CRDT- 2009/06/24 09:00
PHST- 2008/12/19 00:00 [received]
PHST- 2009/02/28 00:00 [revised]
PHST- 2009/03/02 00:00 [accepted]
PHST- 2009/06/24 09:00 [entrez]
PHST- 2009/06/24 09:00 [pubmed]
PHST- 2009/09/05 06:00 [medline]
AID - S0886-3350(09)00340-X [pii]
AID - 10.1016/j.jcrs.2009.03.013 [doi]
PST - ppublish
SO  - J Cataract Refract Surg. 2009 Jul;35(7):1234-8. doi: 10.1016/j.jcrs.2009.03.013.