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Effect of four different intraocular lenses on posterior

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Naim Tnt
Naim Tnt

Group 1, 2, and 3 were implanted with 1-piece and 3-piece acrylic hydrophobic IOLs, while Group 4 was implanted with a hydrophilic acrylic IOL. A higher percentage of eyes with hydrophilic IOLs developed PCO compared to hydrophobic IOLs. There was no significant difference in PCO rates between 1-piece and 3-piece hydrophobic IOLs. Eyes with hydrophilic IOLs required Nd:YAG laser treatment later than eyes with hydrophobic IOLs. The study concludes that hydrophilic IOLs are associated with a higher risk of PCO development compared to hydrophobic IOLs.

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Effect of four different intraocular lenses on posterior capsule opacification Naim Ismail Imunu Kepaniteraan Klinik Ilmu Kesehatan Mata RSUD R. Soedjati Purwodadi
Introduction Cataract Surgery Posterior Capsule Opasification Surgery Method Laser Nd:YAG Material of IOLs
Subject and Methods Study Population Data was collected retrospectively for 4970 consecutive eyes of 4013 patients Inclusion patients with senile cataract who underwent uncomplicated phacoemulsification surgery and IOL implantation performed by one surgeon (Karel F) at the Ankara University Faculty of Medicine, Department of Ophthalmology between January 2000 and January 2008. Exclusion concomitant ocular pathologies (uveitis or history of uveitis high myopia (>S-6D ) previous trauma or had suffered any intra operative complication (capsulorhexis rim tear, zonular rupture, posterior capsule rupture with or without vitreous loss or the usage of the capsule tension ring)
Devided into 4 groups based on 4 different IOLs Group 1 :AcrySof SN60AT (Alcon Laboratories, Inc., Fort Worth, TX, USA), 1-piece acrylic hydrophobic IOL with a 6.0 mm optic diameter, a 13.0 mm overall diameter and acrylic haptics angled at 0属, was implanted in 1399 eyes of 1014 patients. Group 2 : AcrySof MA30BA (Alcon Laboratories, Inc., Fort Worth, TX, USA), a 3-piece acrylic hydrophobic IOL with a 5.5 mm optic diameter, a 12.5 mm overall diameter and poly methyl metahacrylate (PMMA) haptics angled at 5属, was implanted in 1509 eyes of 1242 patients.
Group 3 : AcrySof MA60BM (Alcon Laboratories, Inc., Fort Worth, TX, USA), a 3-piece acrylic hydrophobic IOL with a 6.0 mm optic diameter, a 13.0 mm overall diameter and PMMA haptics angled at 10属, was implanted in 1501 eyes of 1324 patients. Group 4 : Aqua-SenseTM III (Aaren Scientific Inc.,Ontario, USA) a 3-piece acrylic hydrophilic IOL with a 6.0 mm optic diameter, a 12.5 mm overall diameter and acrylic haptics angled at 5属, was implanted in 561 eyes of 433patients.
Surgeon (Karel F) Ankara University Faculty of Medicine, Department of Ophthalmology between January 2000 and January 2008
Post operative treatment Dexamethason topical 0,1% Ciprofloxasin topical 5 time daily for 1mo
Statistical analysis PCO development associated with each IOLMajor outcome Were compared using a Z testThe differences between groups assessed using the Chi-square test. A value P less than 0.05 was considered statisticallysignificant. statistical significance of differences in frequencies SPSS 13.0 software SPSS Inc., Chicago, USA)Analysis
RESULT Mean of age PCO requiring Nd:YAG laser/% Sign. Mean time PCO developement Sig. Group 1 67.90賊9.55 41 eyes/2.93% 0,74 13.21賊10.02mo 0,001 Group 2 66.90賊10.7 3 41 eyes/2.72% 0,71 33.11賊25.06mo Group 3 69.33賊8.44 45 eyes/3.00% 0,71 22.25賊16.02mo Group 4 70.03賊9.56 26 eyes4.63% 0,015 39.91賊15.52mo 0,001
Effect of four different intraocular lenses on posterior
DISCUSSION The incidence of PCO is affected by many factors. The development of modern foldable IOLs with square-edged optics has greatly reduced the incidence of PCO following cataract surgery. recent studies The sharp optic edge, now known to be a major inhibitory factor for PCO development Camparasion of IOLs material The clinical introduction of 1-piece acrylic hydrophobic IOLs with some differences in optic and haptic design was expected to be associated with a different rate of PCO development compared with 3-piece acrylic hydrophobic IOLs. 1y after surgery, 1-piece acrylic IOLs are associated with slightly more regeneratory PCO than 3-piece acrylic IOLs made from the same material. the modification of an IOL from a 3-piece to a 1-piece haptic design caused no significant change in the development of PCO.
hydrophilic acrylic lenses provide a suitable environment for lens epithelial cells migration because of the hydrophilic surface properties. Previous studies have reported that hydrophobic IOLs are associated with lower rates of PCO than hydrophilic IOLs IOLs causing PCO According to our results, eyes with acrylic hydrophobic optic IOLs were more likely to require Nd:YAG laser capsulotomy than eyes with acrylic hydropholic optic IOLs. The needed of Nd:YAG laser
Conclusion A higher percentage of eyes with hydrophilic acrylic IOLs developed PCO than eyes with acrylic hydrophobic IOLs. no significant difference in the long- term PCO rate of a1- or 3-piece hapticlens design. Eyes with acrylic hydrophilic IOLs did not require an Nd:YAG laser capsulotomy as soon as eyes with acrylic hydrophobic IOLs. summary
CRITICAL APPRAISAL
Judul dan Pengarang No Kriteria Ya (+) atau Tidak (-) 1. Jumlah kata dalam judul < 12 kata + 2. Deskripsi judul Menggambarkan isi utama penelitian, cukup menarik, tanpa singkatan, tidak digarisbawahi, tidak diakhiri tanda titik, tidak ditulis di antara tanda kutip. 3. Daftar penulis sesuai aturan jurnal + 4. Korespondensi penulis + 5. Tempat dan waktu penelitian dalam judul + 6. Subyek penelitian +
Abstrak No Kriteria Ya (+) atau Tidak (-) 1. Abstrak 1 paragraf + 2. Mencakup AMRC + 3. Secara keseluruhan informatif + 4. Tanpa singkatan selain yang baku + 5. Kurang dari 250 kata + (216 kata) 6. Tidak menuliskan kutipan pustaka +
Pendahuluan No. Kriteria Ya (+) atau Tidak (-) 1. Terdiri dari 2 bagian atau paragraf - ( 3 paragraf) 2. Alasan dilakukan penelitian + 3. Penelitian sebelumnya - 4. Tujuan penelitian, hipotesis penelitian + 5. Didukung pustaka yang relevan + 6. Kurang dari 1 halaman +
Metode No. Kriteria Ya (+) atau Tidak (-) 1. Jenis & rancangan penelitian + 2. Waktu dan tempat penelitian + 3. Populasi sumber dan jumlah sampel + 4. Teknik sampling - 5. Kriteria inklusi + 6. Kriteria eksklusi + 7. Perincian cara penelitian - 8. Uji statistik (p < 0,05) + 9. Program komputer + 10. Persetujuan subyektif -
Hasil No. Kriteria Ya (+) atau Tidak (-) 1. Jumlah subyek + 2. Tabel karakteristik subyek - 3. Tabel hasil penelitian + 4. Komentar dan pendapat penulis tentang hasil -
Pembahasan, Kesimpulan, Daftar Pustaka No. Kriteria Ya (+) atau Tidak (-) 1. Pembahasan dan kesimpulan terpisah - 2. Pembahasan dan kesimpulan dipaparkan dengan jelas + 3. Pembahasan mengacu dari penelitian sebelumnya + 4. Pembahasan sesuai landasan teori + 5. Keterbatasan penelitian - 6. Simpulan utama + 7. Simpulan berdasarkan penelitian + 8. Saran penelitian - 9. Penulisan daftar pustaka sesuai +
Apakah penelitian ini penting ? Penting bagi praktisi kesehatan mata untuk mengetahui perkembangan tentang pengaruh jenis IOLs terhadap insidensi PCO Apakah hasil penelitian tersebut mungkin untuk diterapkan pada pasien kita ? Tidak bisa, mengingat sebagian besar pasien kita BPJS sehingga opsi untuk jenis lensa yang spesifik terbatas

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Effect of four different intraocular lenses on posterior

  • 1. Effect of four different intraocular lenses on posterior capsule opacification Naim Ismail Imunu Kepaniteraan Klinik Ilmu Kesehatan Mata RSUD R. Soedjati Purwodadi
  • 3. Subject and Methods Study Population Data was collected retrospectively for 4970 consecutive eyes of 4013 patients Inclusion patients with senile cataract who underwent uncomplicated phacoemulsification surgery and IOL implantation performed by one surgeon (Karel F) at the Ankara University Faculty of Medicine, Department of Ophthalmology between January 2000 and January 2008. Exclusion concomitant ocular pathologies (uveitis or history of uveitis high myopia (>S-6D ) previous trauma or had suffered any intra operative complication (capsulorhexis rim tear, zonular rupture, posterior capsule rupture with or without vitreous loss or the usage of the capsule tension ring)
  • 4. Devided into 4 groups based on 4 different IOLs Group 1 :AcrySof SN60AT (Alcon Laboratories, Inc., Fort Worth, TX, USA), 1-piece acrylic hydrophobic IOL with a 6.0 mm optic diameter, a 13.0 mm overall diameter and acrylic haptics angled at 0属, was implanted in 1399 eyes of 1014 patients. Group 2 : AcrySof MA30BA (Alcon Laboratories, Inc., Fort Worth, TX, USA), a 3-piece acrylic hydrophobic IOL with a 5.5 mm optic diameter, a 12.5 mm overall diameter and poly methyl metahacrylate (PMMA) haptics angled at 5属, was implanted in 1509 eyes of 1242 patients.
  • 5. Group 3 : AcrySof MA60BM (Alcon Laboratories, Inc., Fort Worth, TX, USA), a 3-piece acrylic hydrophobic IOL with a 6.0 mm optic diameter, a 13.0 mm overall diameter and PMMA haptics angled at 10属, was implanted in 1501 eyes of 1324 patients. Group 4 : Aqua-SenseTM III (Aaren Scientific Inc.,Ontario, USA) a 3-piece acrylic hydrophilic IOL with a 6.0 mm optic diameter, a 12.5 mm overall diameter and acrylic haptics angled at 5属, was implanted in 561 eyes of 433patients.
  • 6. Surgeon (Karel F) Ankara University Faculty of Medicine, Department of Ophthalmology between January 2000 and January 2008
  • 7. Post operative treatment Dexamethason topical 0,1% Ciprofloxasin topical 5 time daily for 1mo
  • 8. Statistical analysis PCO development associated with each IOLMajor outcome Were compared using a Z testThe differences between groups assessed using the Chi-square test. A value P less than 0.05 was considered statisticallysignificant. statistical significance of differences in frequencies SPSS 13.0 software SPSS Inc., Chicago, USA)Analysis
  • 9. RESULT Mean of age PCO requiring Nd:YAG laser/% Sign. Mean time PCO developement Sig. Group 1 67.90賊9.55 41 eyes/2.93% 0,74 13.21賊10.02mo 0,001 Group 2 66.90賊10.7 3 41 eyes/2.72% 0,71 33.11賊25.06mo Group 3 69.33賊8.44 45 eyes/3.00% 0,71 22.25賊16.02mo Group 4 70.03賊9.56 26 eyes4.63% 0,015 39.91賊15.52mo 0,001
  • 11. DISCUSSION The incidence of PCO is affected by many factors. The development of modern foldable IOLs with square-edged optics has greatly reduced the incidence of PCO following cataract surgery. recent studies The sharp optic edge, now known to be a major inhibitory factor for PCO development Camparasion of IOLs material The clinical introduction of 1-piece acrylic hydrophobic IOLs with some differences in optic and haptic design was expected to be associated with a different rate of PCO development compared with 3-piece acrylic hydrophobic IOLs. 1y after surgery, 1-piece acrylic IOLs are associated with slightly more regeneratory PCO than 3-piece acrylic IOLs made from the same material. the modification of an IOL from a 3-piece to a 1-piece haptic design caused no significant change in the development of PCO.
  • 12. hydrophilic acrylic lenses provide a suitable environment for lens epithelial cells migration because of the hydrophilic surface properties. Previous studies have reported that hydrophobic IOLs are associated with lower rates of PCO than hydrophilic IOLs IOLs causing PCO According to our results, eyes with acrylic hydrophobic optic IOLs were more likely to require Nd:YAG laser capsulotomy than eyes with acrylic hydropholic optic IOLs. The needed of Nd:YAG laser
  • 13. Conclusion A higher percentage of eyes with hydrophilic acrylic IOLs developed PCO than eyes with acrylic hydrophobic IOLs. no significant difference in the long- term PCO rate of a1- or 3-piece hapticlens design. Eyes with acrylic hydrophilic IOLs did not require an Nd:YAG laser capsulotomy as soon as eyes with acrylic hydrophobic IOLs. summary
  • 15. Judul dan Pengarang No Kriteria Ya (+) atau Tidak (-) 1. Jumlah kata dalam judul < 12 kata + 2. Deskripsi judul Menggambarkan isi utama penelitian, cukup menarik, tanpa singkatan, tidak digarisbawahi, tidak diakhiri tanda titik, tidak ditulis di antara tanda kutip. 3. Daftar penulis sesuai aturan jurnal + 4. Korespondensi penulis + 5. Tempat dan waktu penelitian dalam judul + 6. Subyek penelitian +
  • 16. Abstrak No Kriteria Ya (+) atau Tidak (-) 1. Abstrak 1 paragraf + 2. Mencakup AMRC + 3. Secara keseluruhan informatif + 4. Tanpa singkatan selain yang baku + 5. Kurang dari 250 kata + (216 kata) 6. Tidak menuliskan kutipan pustaka +
  • 17. Pendahuluan No. Kriteria Ya (+) atau Tidak (-) 1. Terdiri dari 2 bagian atau paragraf - ( 3 paragraf) 2. Alasan dilakukan penelitian + 3. Penelitian sebelumnya - 4. Tujuan penelitian, hipotesis penelitian + 5. Didukung pustaka yang relevan + 6. Kurang dari 1 halaman +
  • 18. Metode No. Kriteria Ya (+) atau Tidak (-) 1. Jenis & rancangan penelitian + 2. Waktu dan tempat penelitian + 3. Populasi sumber dan jumlah sampel + 4. Teknik sampling - 5. Kriteria inklusi + 6. Kriteria eksklusi + 7. Perincian cara penelitian - 8. Uji statistik (p < 0,05) + 9. Program komputer + 10. Persetujuan subyektif -
  • 19. Hasil No. Kriteria Ya (+) atau Tidak (-) 1. Jumlah subyek + 2. Tabel karakteristik subyek - 3. Tabel hasil penelitian + 4. Komentar dan pendapat penulis tentang hasil -
  • 20. Pembahasan, Kesimpulan, Daftar Pustaka No. Kriteria Ya (+) atau Tidak (-) 1. Pembahasan dan kesimpulan terpisah - 2. Pembahasan dan kesimpulan dipaparkan dengan jelas + 3. Pembahasan mengacu dari penelitian sebelumnya + 4. Pembahasan sesuai landasan teori + 5. Keterbatasan penelitian - 6. Simpulan utama + 7. Simpulan berdasarkan penelitian + 8. Saran penelitian - 9. Penulisan daftar pustaka sesuai +
  • 21. Apakah penelitian ini penting ? Penting bagi praktisi kesehatan mata untuk mengetahui perkembangan tentang pengaruh jenis IOLs terhadap insidensi PCO Apakah hasil penelitian tersebut mungkin untuk diterapkan pada pasien kita ? Tidak bisa, mengingat sebagian besar pasien kita BPJS sehingga opsi untuk jenis lensa yang spesifik terbatas
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