Refractive Outcome and 5-Year Capsulotomy Rate of Hydrophobic and Hydrophilic IOLs with Similar Optical Design: A Contralateral Study
Abstract Introduction To compare the short-term visual and aberrometric outcomes and the long-term capsulotomy incidence in a cohort of patients receiving IOLs with similar structural profile but with a hydrophobic matrix in one eye (PHOB group) and a hydrophilic matrix in the other one (PHIL group)...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Adis, Springer Healthcare
2023-01-01
|
| Series: | Ophthalmology and Therapy |
| Subjects: | |
| Online Access: | https://doi.org/10.1007/s40123-022-00646-0 |
| _version_ | 1827985001937895424 |
|---|---|
| author | Carlo Bellucci Paolo Mora Salvatore A. Tedesco Stefano Gandolfi Roberto Bellucci |
| author_facet | Carlo Bellucci Paolo Mora Salvatore A. Tedesco Stefano Gandolfi Roberto Bellucci |
| author_sort | Carlo Bellucci |
| collection | DOAJ |
| description | Abstract Introduction To compare the short-term visual and aberrometric outcomes and the long-term capsulotomy incidence in a cohort of patients receiving IOLs with similar structural profile but with a hydrophobic matrix in one eye (PHOB group) and a hydrophilic matrix in the other one (PHIL group). Methods In this retrospective, contralateral study, 26 patients sequentially undergoing phacoemulsification were implanted as mentioned above. Refraction and aberrometry were evaluated 6 months after surgery. For the quality of vision, the Hartmann-Shack optical aberration, Double-Pass Modulation Transfer Function (MTF), contrast sensitivity, and dysphotopsia results were compared. Capsulotomy was ascertained and dated by medical chart revision or phone call. Results All the considered quantitative and qualitative visual parameters tested statistically comparable between PHIL and PHOB group. After 5 years, four patients (16.7%) in the PHOB group and five patients (20.8%) in the PHIL group underwent a Nd:YAG posterior capsulotomy (P > 0.5). Conclusion In this contralateral comparative study, the hydrophobic and hydrophilic matrix of the IOL similarly influenced the visual and aberrometric outcomes. Also the long-term laser capsulotomy incidence did not statistically differ between groups. The posterior IOL profile, rather than matrix hydrophilia, could consistently influence the posterior capsule opacification. |
| first_indexed | 2024-04-09T23:07:52Z |
| format | Article |
| id | doaj.art-cf542326705c4d7ead89a0e333e0abf1 |
| institution | Directory Open Access Journal |
| issn | 2193-8245 2193-6528 |
| language | English |
| last_indexed | 2024-04-09T23:07:52Z |
| publishDate | 2023-01-01 |
| publisher | Adis, Springer Healthcare |
| record_format | Article |
| series | Ophthalmology and Therapy |
| spelling | doaj.art-cf542326705c4d7ead89a0e333e0abf12023-03-22T10:37:06ZengAdis, Springer HealthcareOphthalmology and Therapy2193-82452193-65282023-01-011221387139510.1007/s40123-022-00646-0Refractive Outcome and 5-Year Capsulotomy Rate of Hydrophobic and Hydrophilic IOLs with Similar Optical Design: A Contralateral StudyCarlo Bellucci0Paolo Mora1Salvatore A. Tedesco2Stefano Gandolfi3Roberto Bellucci4Ophthalmology Unit, Department of Medicine and Surgery, University Hospital of Parma, University of ParmaOphthalmology Unit, Department of Medicine and Surgery, University Hospital of Parma, University of ParmaOphthalmology Unit, Department of Medicine and Surgery, University Hospital of Parma, University of ParmaOphthalmology Unit, Department of Medicine and Surgery, University Hospital of Parma, University of ParmaVista Vision Surgical CentreAbstract Introduction To compare the short-term visual and aberrometric outcomes and the long-term capsulotomy incidence in a cohort of patients receiving IOLs with similar structural profile but with a hydrophobic matrix in one eye (PHOB group) and a hydrophilic matrix in the other one (PHIL group). Methods In this retrospective, contralateral study, 26 patients sequentially undergoing phacoemulsification were implanted as mentioned above. Refraction and aberrometry were evaluated 6 months after surgery. For the quality of vision, the Hartmann-Shack optical aberration, Double-Pass Modulation Transfer Function (MTF), contrast sensitivity, and dysphotopsia results were compared. Capsulotomy was ascertained and dated by medical chart revision or phone call. Results All the considered quantitative and qualitative visual parameters tested statistically comparable between PHIL and PHOB group. After 5 years, four patients (16.7%) in the PHOB group and five patients (20.8%) in the PHIL group underwent a Nd:YAG posterior capsulotomy (P > 0.5). Conclusion In this contralateral comparative study, the hydrophobic and hydrophilic matrix of the IOL similarly influenced the visual and aberrometric outcomes. Also the long-term laser capsulotomy incidence did not statistically differ between groups. The posterior IOL profile, rather than matrix hydrophilia, could consistently influence the posterior capsule opacification.https://doi.org/10.1007/s40123-022-00646-0AberrometryCapsulotomy rateCataract surgeryHydrophilic IOLHydrophobic IOL |
| spellingShingle | Carlo Bellucci Paolo Mora Salvatore A. Tedesco Stefano Gandolfi Roberto Bellucci Refractive Outcome and 5-Year Capsulotomy Rate of Hydrophobic and Hydrophilic IOLs with Similar Optical Design: A Contralateral Study Ophthalmology and Therapy Aberrometry Capsulotomy rate Cataract surgery Hydrophilic IOL Hydrophobic IOL |
| title | Refractive Outcome and 5-Year Capsulotomy Rate of Hydrophobic and Hydrophilic IOLs with Similar Optical Design: A Contralateral Study |
| title_full | Refractive Outcome and 5-Year Capsulotomy Rate of Hydrophobic and Hydrophilic IOLs with Similar Optical Design: A Contralateral Study |
| title_fullStr | Refractive Outcome and 5-Year Capsulotomy Rate of Hydrophobic and Hydrophilic IOLs with Similar Optical Design: A Contralateral Study |
| title_full_unstemmed | Refractive Outcome and 5-Year Capsulotomy Rate of Hydrophobic and Hydrophilic IOLs with Similar Optical Design: A Contralateral Study |
| title_short | Refractive Outcome and 5-Year Capsulotomy Rate of Hydrophobic and Hydrophilic IOLs with Similar Optical Design: A Contralateral Study |
| title_sort | refractive outcome and 5 year capsulotomy rate of hydrophobic and hydrophilic iols with similar optical design a contralateral study |
| topic | Aberrometry Capsulotomy rate Cataract surgery Hydrophilic IOL Hydrophobic IOL |
| url | https://doi.org/10.1007/s40123-022-00646-0 |
| work_keys_str_mv | AT carlobellucci refractiveoutcomeand5yearcapsulotomyrateofhydrophobicandhydrophiliciolswithsimilaropticaldesignacontralateralstudy AT paolomora refractiveoutcomeand5yearcapsulotomyrateofhydrophobicandhydrophiliciolswithsimilaropticaldesignacontralateralstudy AT salvatoreatedesco refractiveoutcomeand5yearcapsulotomyrateofhydrophobicandhydrophiliciolswithsimilaropticaldesignacontralateralstudy AT stefanogandolfi refractiveoutcomeand5yearcapsulotomyrateofhydrophobicandhydrophiliciolswithsimilaropticaldesignacontralateralstudy AT robertobellucci refractiveoutcomeand5yearcapsulotomyrateofhydrophobicandhydrophiliciolswithsimilaropticaldesignacontralateralstudy |