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Comparison of anterior capsule contraction between hydrophobic and hydrophilic intraocular lens models

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Abstract

Background

To compare the incidence of anterior capsule contraction syndrome (ACCS) after hydrophobic and hydrophilic intraocular lens (IOLs) implantation.

Methods

In this retrospective study, 639 eyes of 639 patients (one eye from each patient) were included, and were divided in two groups according to the type of IOL implanted [hydrophobic (group 1: 273 eyes) or hydrophilic (group 2: 366 eyes, two different IOL models: group 2a, 267 eyes and group 2b, 99 eyes)]. ACCS incidence between groups 1 and 2 as well as between hydrophilic group IOL models was compared.

Results

ACCS was significantly (p = 0.012) less frequent in group 1 (hydrophobic) than group 2 (hydrophilic) (four eyes versus 19 eyes respectively). In the hydrophilic group, no statistically significant difference was observed between the two IOL models (ACCS was observed in 13 eyes of the Quatrix and six eyes of the ACR6D IOL model: p = 0.65).

Conclusions

ACCS was significantly greater after hydrophilic IOL implantation when compared with hydrophobic lenses, while there was no statistical significant difference between the two hydrophilic IOL models.

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References

  1. Davison JA (1993) Capsule contraction syndrome. J Cataract Refract Surg 19:582–589

    CAS  PubMed  Google Scholar 

  2. Hanson S, Crandall A, Olson R (1993) Progressive constriction of the anterior capsular opening following intact capsulorhexis. J Cataract Refract Surg 19:77–82

    Google Scholar 

  3. Deokule SP, Mukherjee SS, Chew CK (2006) Neodymium: YAG laser anterior capsulotomy for capsular contraction syndrome. Ophthalmic Surg Lasers Imaging 37:99–105

    PubMed  Google Scholar 

  4. Chéour M, Mghaieth K, Bouladi M, Hasnaoui W, Mrabet I, Kraiem A (2007) Nd: YAG laser treatment of anterior capsule contraction syndrome after phacoemulsification. J Fr Ophtalmol 30:903–907

    Article  PubMed  Google Scholar 

  5. Kurosaka E, Ando I, Kato K, Oshima T, Kurosaka H, Yoshino M, Nagamoto T, Ando N (1999) Fibrous membrane formation at the capsule margin in capsule contraction syndrome. J Cataract Refract Surg 25:930–935

    Article  CAS  PubMed  Google Scholar 

  6. Caporossi A, Casprini G, Tosi GM, Balestrazzi A, Stumpo M, Toti P (1998) Histology of anterior capsule fibrosis following phacoemulsification. J Cataract Refract Surg 24:1343–1346

    CAS  PubMed  Google Scholar 

  7. Spang KM, Rohrbach JM, Weidle EG (1999) Complete occlusion of the anterior capsular opening after intact capsulorhexis: clinicopathologic correlation. Am J Ophthalmol 127:343–345

    Article  CAS  PubMed  Google Scholar 

  8. Kato S, Suzuki T, Hayashi Y, Numaga J, Hattori T, Yuguchi T, Kaiya T, Oshika T (2002) Risk factors for contraction of the anterior capsule opening. J Cataract Refract Surg 28:109–112

    Article  PubMed  Google Scholar 

  9. Kato S, Oshika T, Numaga J, Hayashi Y, Oshiro M, Yuguchi T, Kaiya T (2001) Anterior capsular contraction after cataract surgery in eyes of diabetic patients. Br J Ophthalmol 85:21–23

    Article  CAS  PubMed  Google Scholar 

  10. Sudhir RR, Rao SK (2001) Capsulorhexis phimosis in retinitis pigmentosa despite capsular tension ring implantation. J Cataract Refract Surg 27:1691–1694

    Article  CAS  PubMed  Google Scholar 

  11. Hayashi Y, Kato S, Fukushima H, Numaga J, Kaiya T, Tamaki Y, Oshika T (2004) Relationship between anterior capsule contraction and posterior capsule opacification after cataract surgery in patients with diabetes mellitus. J Cataract Refract Surg 30:1517–1520

    Article  PubMed  Google Scholar 

  12. Hayashi H, Hayashi K, Nakao F, Hayashi F (1998) Anterior capsule contraction and intraocular lens dislocation in eyes with pseudoexfoliation syndrome. Br J Ophthalmol 82:1429–1432

    Article  CAS  PubMed  Google Scholar 

  13. Matsuda H, Kato S, Hayashi Y, Amano S, Hattori T, Yuguchi T, Kaiya T, Oshika T (2001) Anterior capsular contraction after cataract surgery in vitrectomized eyes. Am J Ophthalmol 132:108–109

    Article  CAS  PubMed  Google Scholar 

  14. Apple DJ (2000) Influence of intraocular lens material and design on postoperative intracapsular cellular reactivity. Trans Am Ophthalmol Soc 98:257–283

    CAS  PubMed  Google Scholar 

  15. Pandey SK, Apple DJ, Werner L, Maloof AJ, Milverton EJ (2004) Posterior capsule opacification: a review of the aetiopathogenesis, experimental and clinical studies and factors for prevention. Indian J Ophthalmol 52:99–112

    PubMed  Google Scholar 

  16. Schaumberg DA, Dana MR, Christen WG, Glynn RJ (1998) A systematic overview of the incidence of posterior capsular opacification. Ophthalmology 105:1213–1221

    Article  CAS  PubMed  Google Scholar 

  17. Toto L, Falconio G, Vecchiarino L, Scorcia V, Di Nicola M, Ballone E, Mastropasqua L (2007) Visual performance and biocompatibility of 2 multifocal diffractive IOLs: six-month comparative study. J Cataract Refract Surg 33:1419–1425

    Article  PubMed  Google Scholar 

  18. Waheed K, Eleftheriadis H, Liu C (2001) Anterior capsular phimosis with a capsular tension ring. J Cataract Refract Surg 27:1688–1690

    Article  CAS  PubMed  Google Scholar 

  19. Hayashi K, Hayashi H (2005) Intraocular lens factors that may affect anterior capsule contraction. Ophthalmology 112:286–292

    Article  PubMed  Google Scholar 

  20. Werner L, Pandy SK, Escobar-Gomez M, Visessook N, Peng Q, Apple DJ (2000) Anterior capsule opacification: a histopathological study comparing different IOL styles. Ophthalmology 107:463–467

    Article  CAS  PubMed  Google Scholar 

  21. Hayashi K, Hayashi H, Nakao F, Hayashi F (1997) Reduction in the area of the anterior capsule opening after polymethylmethacrylate, silicone, and soft acrylic intraocular lens implantation. Am J Ophthalmol 123:441–447

    CAS  PubMed  Google Scholar 

  22. Sacu S, Menapace R, Buehl W, Rainer G, Findl O (2004) Effect of intraocular lens optic edge design and material on fibrotic capsule opacification and capsulorhexis contraction. J Cataract Refract Surg 30:1875–1882

    Article  PubMed  Google Scholar 

  23. Gallagher SP, Pavilack MA (1999) Risk factors for anterior capsule contraction syndrome with polypropylene or poly (methyl methacrylate) haptics. J Cataract Refract Surg 25:1356–1361

    Article  CAS  PubMed  Google Scholar 

  24. Kramer S, Schröder AC, Brückner K, Jonescu-Cuypers C, Seitz B (2009) Subluxation of hydrophilic acrylate intraocular lenses due to massive capsular fibrosis. Ophthalmologe Sep 16 [Epub ahead of print]

  25. Kugelberg M, Wejde G, Jayaram H, Zetterström C (2006) Posterior capsule opacification after implantation of a hydrophilic or a hydrophobic acrylic intraocular lens: one-year follow-up. J Cataract Refract Surg 32:1627–1631

    Article  PubMed  Google Scholar 

  26. Zemaitiene R, Speckauskas M, Glebauskiene B, Jasinskas V (2008) Comparison of postoperative results after implantation of hydrophilic acrylic or hydrophobic acrylic intraocular lens: data of one-year prospective clinical study. Medicina (Kaunas) 44:936–943

    Google Scholar 

  27. Abela-Formanek C, Amon M, Schauersberger J, Kruger A, Nepp J, Schild G (2002) Results of hydrophilic acrylic, hydrophobic acrylic, and silicone intraocular lenses in uveitic eyes with cataract: comparison to a control group. J Cataract Refract Surg 28:1141–1152

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. 2nd Department of Ophthalmology “Papageorgiou” General Hospital, Faculty of Medicine, Aristotle University of Thessaloniki, 56429, Thessaloniki, Greece

    Ioannis T. Tsinopoulos, Konstantinos T. Tsaousis, Chrysanthos Symeonidis & Stavros A. Dimitrakos

  2. Department of Medicine, Institute of Vision & Optics, University of Crete, Heraklion, Crete, Greece

    George D. Kymionis, Michael A. Grentzelos & Vasilios F. Diakonis

  3. Department of Informatics, Papageorgiou General Hospital, Thessaloniki, Greece

    Maria Adaloglou

Authors
  1. Ioannis T. Tsinopoulos
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  2. Konstantinos T. Tsaousis
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  3. George D. Kymionis
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  4. Chrysanthos Symeonidis
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  5. Michael A. Grentzelos
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  6. Vasilios F. Diakonis
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  7. Maria Adaloglou
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  8. Stavros A. Dimitrakos
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Corresponding author

Correspondence to Konstantinos T. Tsaousis.

Additional information

The authors have no financial or proprietary interest in any materials or methods described herein.

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Tsinopoulos, I.T., Tsaousis, K.T., Kymionis, G.D. et al. Comparison of anterior capsule contraction between hydrophobic and hydrophilic intraocular lens models. Graefes Arch Clin Exp Ophthalmol 248, 1155–1158 (2010). https://doi.org/10.1007/s00417-010-1373-2

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  • DOI: https://doi.org/10.1007/s00417-010-1373-2

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