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Eye (Lond). 2018 Oct;32(10):1579-1589. doi: 10.1038/s41433-018-0131-2. Epub 2018 Jun 11.

Three-year incidence of Nd:YAG capsulotomy and posterior capsule opacification and its relationship to monofocal acrylic IOL biomaterial: a UK Real World Evidence study.

Author information

1
Epsom & St Helier University Hospitals NHS Trust, Epsom, Surrey, UK.
2
Novartis Ireland Ltd, Dublin, Ireland.
3
Alcon Eye Care Limited, Camberley, Surrey, UK.
4
Alcon Management SA, Cointrin-Geneva, Switzerland.
5
IQVIA, London, UK.
6
Alcon laboratories Inc, Fort Worth, TX, USA. christine.bouchet@alcon.com.

Abstract

PURPOSE:

To evaluate 3-year incidence of Nd:YAG capsulotomy and PCO and compare the effect of different IOL materials.

METHODS:

Data were retrospectively collected from seven UK ophthalmology clinics using Medisoft electronic medical records. Eyes from patients ≥65 years undergoing cataract surgery with implantation of acrylic monofocal IOLs during 2010-2013 and 3-year follow-up were analysed. Nd:YAG capsulotomy and PCO incidence proportions were reported for 3 IOL cohorts: AcrySof, other hydrophobic and hydrophilic acrylic IOLs. Unadjusted/adjusted odds ratios (OR) of Nd:YAG capsulotomy were calculated through logistic regression for non-AcrySof cohorts versus AcrySof. A sub-group analysis in single-piece IOLs (>90% of sample eyes) was also performed.

RESULTS:

The AcrySof cohort included 13,329 eyes, non-AcrySof hydrophobic 19,025 and non-AcrySof hydrophilic 19,808. The 3-year Nd:YAG capsulotomy incidence (95% CI) for AcrySof (2.4%, 2.2-2.7%) was approximately two times lower than non-AcrySof hydrophobic IOLs (4.4%, 4.1-4.7%) and approximately fourfold lower than non-AcrySof hydrophilic IOLs (10.9%, 10.5-11.3%). Trends were similar in PCO incidence (AcrySof: 4.7%; non-AcrySof hydrophobic: 6.3%; non-AcrySof hydrophilic: 14.8%). Also in the analysis restricted to single-piece IOLs, the pattern remained (2.4% vs 5.1% vs. 10.9%, respectively). Adjusted regression analysis showed a approximately two and fivefold increased odds of Nd:YAG for non-AcrySof hydrophobic and hydrophilic acrylic IOLs respectively vs. AcrySof IOLs. Nd:YAG capsulotomy ORs were similar and remained statistically significant in the single-piece IOL sub-group.

CONCLUSIONS:

Real-world evidence shows that within 3 years following implantation, AcrySof IOLs are significantly superior in reducing Nd:YAG capsulotomy and PCO incidence compared to other hydrophilic and hydrophobic acrylic IOLs.

PMID:
29891902
PMCID:
PMC6189124
DOI:
10.1038/s41433-018-0131-2
[Indexed for MEDLINE]
Free PMC Article

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