Effect of intraocular lens asphericity on posterior capsule opacification between two intraocular lenses with same acrylic material: a fellow-eye study.

Abstract

PURPOSE:

To evaluate intra-individual differences in posterior capsule opacification (PCO) and visual performance between spherical AcrySof SN60AT and an aspheric AcrySof SN60WF intraocular lens (IOL) with a posterior aspheric surface, both of which are made of same hydrophobic acrylic material.

SETTING:

Ophthalmology Department, St Thomas' Hospital, London, UK.

METHODS:

In this prospective randomized, fellow-eye comparison, an aspheric IOL, which is 9% thinner in comparison with the spherical IOL, was randomized to the first eye of 47 patients and fellow-eye surgery was performed within 3 weeks. Follow-up was at 1, 3, 6, 12 and 24 months. Corrected logMAR visual acuity (CDVA) was measured at 100% and 9% contrast. After pupil dilation, digital retroillumination photographs were taken and the mean PCO percentage was calculated using poco software at each follow-up visit.

RESULTS:

At 1, 3, 6, 12 and 24 months, 47 (94 eyes), 44 (88 eyes), 42 (84 eyes) and 41 (82 eyes) patients were followed-up respectively. Hundred per cent and 9% of LogMAR CDVA was not significantly different between the two IOLs (p = NS at all time-points). Percentage area PCO scores (mean ± SD) at 1, 3, 6, 12 and 24 months with the spherical IOL was 5.82 ± 9.89, 7.76 ± 16.83, 7.21 ± 12.46, 9.29 ± 18.25 and 14.39 ± 25.42, respectively, and with an aspheric IOL was 8.91 ± 12.79, 5.97 ± 10.32, 5.15 ± 7.92, 7.68 ± 11.18 and 12.18 ± 20.10, respectively (p = NS at all time-points).

CONCLUSIONS:

Posterior capsule opacification was not significantly different between the spheric and aspheric IOLs in this fellow-eye, randomized comparison. Additional asphericity on the existing model of IOL does not influence PCO performance.

• Authors: Mayank A Nanavaty, David J Spalton, Kavita B Gala, Anish Dhital, James Boyce
• Journal: Acta ophthalmologica (Acta Ophthalmol) Vol. 90 Issue 2 Pg. e104-8 (Mar 2012) ISSN: 1755-3768 [Electronic] England
• PMID: 22067557 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
• Copyright: © 2011 The Authors. Acta Ophthalmologica © 2011 Acta Ophthalmologica Scandinavica Foundation.

Chemical References

• Acrylic Resins

Topics

• Acrylic Resins
• Aged
• Capsule Opacification (etiology, physiopathology)
• Follow-Up Studies
• Humans
• Lens Implantation, Intraocular
• Lenses, Intraocular (adverse effects)
• Phacoemulsification
• Posterior Capsule of the Lens (pathology)
• Prospective Studies
• Prosthesis Design
• Pseudophakia (physiopathology)
• Visual Acuity (physiology)