Intraindividual Comparison Of Capsule Behavior Of 2 Hydrophobic Acrylic Intraocular Lenses During A 5-Year Follow-Up

Guenal Kahraman, MD, Clara Ferdinaro, MD, Barbara Wetzel, MD, Clemens Bernhart, MD, Franz Prager, MD, Michael Amon, MD


PURPOSE: To evaluate and compare the 5-year postoperative anterior (ACO) and posterior capsule opacification (PCO), the occurrence of glistenings, and the level of anterior capsule retraction after implantation of 2 designs of 1-piece hydrophobic acrylic IOLs.

SETTING: Hospital St. John, Vienna, Austria.

DESIGN: Randomized controlled prospective case series.

METHODS: Patients had an Acrysof SA60AT IOL (Group A) implanted in 1 eye and a Tecnis ZCB00 IOL (Group B) im- planted in the fellow eye. At 1, 3, and 5 years, the PCO level was evaluated with the Evaluation of Posterior Capsule Opaci- fication software. The level of ACO and capsule retraction was graded subjectively. Glistenings were scored as present or not present.

RESULTS: Fifty eyes of 25 patients were evaluated after 5 years. No significant differences in PCO scores were found between the 2 groups at all follow-up visits (1 year: 0.06 ± 0.12 [SD] versus 0.07 ± 0.13, P = .35; 3 years: 0.23 ± 0.36 versus 0.22 ± 0.32, P = .66; 5 years: 0.36 ± 0.41 versus 0.36 ± 0.54, P = .98) A significant increase in PCO score was found between 3 and 5 years (P < .01). Anterior capsule opacification was present in Group A and Group B in 18.0% and 2.7% of eyes (P = .03), in 92.0% and 24.0% of eyes, and in 100% and 52% of eyes (P < .01) at 1, 3, and 5 years, respectively. Glistenings (5 years 100%) were observed in Group A.

CONCLUSIONS: Both IOLs had a comparable PCO rate 5 years after surgery, although more ACO and retraction as well as glistenings were observed in Group A.

J Cataract Refract Surg 2017; 43:228–233 © 2017 ASCRS and ESCRS