Impact of anterior capsular polishing on capsule opacification rate in eyes undergoing femtosecond laser-assisted cataract surgery

Purpose: To evaluate the impact of anterior capsular polishing on capsule opacification and contraction in eyes undergoing femtosecond laser-assisted cataract surgery (FLACS). Methods: This prospective interventional comparative analysis included patients undergoing FLACS between August 2016 and May...

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Main Authors: Gitansha S Sachdev, B Soundarya, Shreyas Ramamurthy, Charanya Lakshmi, Ramamurthy Dandapani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=5;spage=780;epage=785;aulast=
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author Gitansha S Sachdev
B Soundarya
Shreyas Ramamurthy
Charanya Lakshmi
Ramamurthy Dandapani
author_facet Gitansha S Sachdev
B Soundarya
Shreyas Ramamurthy
Charanya Lakshmi
Ramamurthy Dandapani
author_sort Gitansha S Sachdev
collection DOAJ
description Purpose: To evaluate the impact of anterior capsular polishing on capsule opacification and contraction in eyes undergoing femtosecond laser-assisted cataract surgery (FLACS). Methods: This prospective interventional comparative analysis included patients undergoing FLACS between August 2016 and May 2017. The eyes were subdivided into three groups based on the extent of intraoperative anterior capsular polishing performed: complete 360-degree polishing; inferior 180-degree polishing; and no polishing. Visual acuity, posterior capsular opacification (PCO) score, anterior capsular opacification (ACO) grade, and capsulorhexis diameter were evaluated at 1-week, 6-months, and 1-year postoperative visits. Results: The study included 99 eyes of 90 patients. No significant differences were observed between the three groups in ACO grade and capsulorhexis contraction at all follow-up visits. There was a statistically significant difference in PCO grade among the groups at 6-month and 1-year follow-up but it was found to be clinically insignificant. One eye in the no polishing group underwent neodymium:yttrium-aluminum-garnet (Nd:YAG) capsulotomy at the 1-year follow-up visit. Conclusion: A lower incidence of PCO was demonstrated in the 360-degree polishing group, although it was visually insignificant. No significant difference in postoperative capsular contraction was demonstrated between the cohorts up to one-year follow-up.
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spelling doaj.art-f10a01524e164cc5b896f51e0e00fdae2022-12-22T01:45:44ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892020-01-0168578078510.4103/ijo.IJO_1787_19Impact of anterior capsular polishing on capsule opacification rate in eyes undergoing femtosecond laser-assisted cataract surgeryGitansha S SachdevB SoundaryaShreyas RamamurthyCharanya LakshmiRamamurthy DandapaniPurpose: To evaluate the impact of anterior capsular polishing on capsule opacification and contraction in eyes undergoing femtosecond laser-assisted cataract surgery (FLACS). Methods: This prospective interventional comparative analysis included patients undergoing FLACS between August 2016 and May 2017. The eyes were subdivided into three groups based on the extent of intraoperative anterior capsular polishing performed: complete 360-degree polishing; inferior 180-degree polishing; and no polishing. Visual acuity, posterior capsular opacification (PCO) score, anterior capsular opacification (ACO) grade, and capsulorhexis diameter were evaluated at 1-week, 6-months, and 1-year postoperative visits. Results: The study included 99 eyes of 90 patients. No significant differences were observed between the three groups in ACO grade and capsulorhexis contraction at all follow-up visits. There was a statistically significant difference in PCO grade among the groups at 6-month and 1-year follow-up but it was found to be clinically insignificant. One eye in the no polishing group underwent neodymium:yttrium-aluminum-garnet (Nd:YAG) capsulotomy at the 1-year follow-up visit. Conclusion: A lower incidence of PCO was demonstrated in the 360-degree polishing group, although it was visually insignificant. No significant difference in postoperative capsular contraction was demonstrated between the cohorts up to one-year follow-up.http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=5;spage=780;epage=785;aulast=anterior capsular polishingcapsular contractioncapsular opacificationfemtosecond laser-assisted cataract surgery
spellingShingle Gitansha S Sachdev
B Soundarya
Shreyas Ramamurthy
Charanya Lakshmi
Ramamurthy Dandapani
Impact of anterior capsular polishing on capsule opacification rate in eyes undergoing femtosecond laser-assisted cataract surgery
Indian Journal of Ophthalmology
anterior capsular polishing
capsular contraction
capsular opacification
femtosecond laser-assisted cataract surgery
title Impact of anterior capsular polishing on capsule opacification rate in eyes undergoing femtosecond laser-assisted cataract surgery
title_full Impact of anterior capsular polishing on capsule opacification rate in eyes undergoing femtosecond laser-assisted cataract surgery
title_fullStr Impact of anterior capsular polishing on capsule opacification rate in eyes undergoing femtosecond laser-assisted cataract surgery
title_full_unstemmed Impact of anterior capsular polishing on capsule opacification rate in eyes undergoing femtosecond laser-assisted cataract surgery
title_short Impact of anterior capsular polishing on capsule opacification rate in eyes undergoing femtosecond laser-assisted cataract surgery
title_sort impact of anterior capsular polishing on capsule opacification rate in eyes undergoing femtosecond laser assisted cataract surgery
topic anterior capsular polishing
capsular contraction
capsular opacification
femtosecond laser-assisted cataract surgery
url http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=5;spage=780;epage=785;aulast=
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AT ramamurthydandapani impactofanteriorcapsularpolishingoncapsuleopacificationrateineyesundergoingfemtosecondlaserassistedcataractsurgery