Comparison between Posterior Capsular Opacification Following Implantation of Hydrophilic & Hydrophobic Acrylic IOLs
Sheriff Elwan, Rania Serag Elkitkat, Ossama Tarek Sayed Nada, Karim Raafat Aly Elsayed Rehan- General Medicine
Background
Nowadays, care of a cataractous patient greatly exceeds surgical removal of the opacified lens. In a step forward to the welfare of the elderly, special concern is given for posterior capsular opacification (PCO), which remains one of the most common complications after cataract surgery.
Aim of the Work
The aim of that work was to compare the incidence of posterior capsular opacification in patients who underwent hydrophilic IOLs versus hydrophobic IOLs implantation.
Patients and Methods
The present study was conducted at the Ophthalmology Outpatient Clinic, Ophthalmology Department, Ain Shams University, and assessed patients, who underwent uneventful phacoemulsification cataract surgery and hydrophilic or hydrophobic acrylic nonheparinized IOL implantation. Surgeries were done by equal caliber experienced surgeons. ―In-thebag‖ fixation of a square-edged IOL and continuous curvilinear capsulorhexis with cortical cleanup was performed. Patients’ data were collected from the electronic medical records.
Results
The study revealed that neither the IOL material nor the general medical condition significantly delayed the onset of PCO development. However, we need to collect more clinical records of cases and conduct multicenter logistic regression analyses on a larger sample using a prospective study design.
Conclusion
The present study found no significant difference between the incidence PCO development between hydrophobic and hydrophilic IOLs. Moreover, the patients’ general conditions did not show a significant association with PCO incidence.