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人工晶状体边缘设计和材料因素对后囊切开率的影响：比较豪雅FY60aD、PY60aD和爱尔康AcrySof SN60WF

Intraocular lens-edge design and material factors contributing to posterior-capsulotomy rates: comparing Hoya FY60aD, PY60aD, and AcrySof SN60WF.

作者信息

Morgan-Warren Peter J, Smith Jm Alaric

机构信息

Victoria Eye Unit, Hereford County Hospital, Hereford, UK.

出版信息

Clin Ophthalmol. 2013;7:1661-7. doi: 10.2147/OPTH.S48824. Epub 2013 Aug 22.

DOI:10.2147/OPTH.S48824
PMID:24003302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3755701/
Abstract

PURPOSE

To compare neodymium-doped yttrium aluminum garnet laser posterior capsulotomy (LPC) rates between the Hoya FY60AD, Hoya PY60AD, and Alcon AcrySof SN60WF intraocular lenses (IOLs) after routine cataract surgery.

METHODS

In this retrospective comparative study, patients undergoing uncomplicated cataract surgery over a 3-year period were included, and those subsequently undergoing LPC were identified from laser clinic records. LPC rates at 2 years postoperatively were compared between the round-edged Hoya FY60AD, the newer sharp-edged Hoya PY60AD three-piece IOLs, and the one-piece AcrySof SN60WF IOL.

RESULTS

A total of 1,265 cataract operations were included, and 49 eyes (3.9%) underwent LPC within 2 years of surgery. Twenty-eight of 315 eyes (8.9%) implanted with the FY60AD underwent LPC by 2 years, compared to eleven of 254 (4.3%) with the newer sharp square-edged PY60AD and ten of 696 (1.4%) with the one-piece SN60WF (P < 0.05, Chi-squared analyses).

CONCLUSIONS

The newer, sharper-edged Hoya PY60AD IOL has a lower LPC rate than the Hoya FY60AD IOL at 2 years post-cataract surgery. The one-piece AcrySof SN60WF has a lower LPC rate than both the three-piece Hoya IOLs in the same time period postoperatively. Variations in IOL-edge design and material effect may have contributed to the different rates observed.

摘要

目的

比较常规白内障手术后，豪雅FY60AD、豪雅PY60AD和爱尔康AcrySof SN60WF人工晶状体（IOL）的钕掺杂钇铝石榴石激光后囊切开术（LPC）发生率。

方法

在这项回顾性比较研究中，纳入了3年内接受无并发症白内障手术的患者，并从激光门诊记录中确定随后接受LPC的患者。比较了圆边的豪雅FY60AD、新型锐边的豪雅PY60AD三件式IOL和一体式AcrySof SN60WF IOL术后2年的LPC发生率。

结果

共纳入1265例白内障手术，49只眼（3.9%）在术后2年内接受了LPC。315只植入FY60AD的眼中，有28只（8.9%）在2年内接受了LPC，相比之下，254只植入新型锐边方形PY60AD的眼中有11只（4.3%），696只植入一体式SN60WF的眼中有10只（1.4%）（P<0.05，卡方分析）。

结论

新型锐边的豪雅PY60AD IOL在白内障手术后2年的LPC发生率低于豪雅FY60AD IOL。一体式AcrySof SN60WF在术后同一时期的LPC发生率低于两款三件式豪雅IOL。IOL边缘设计和材料效应的差异可能导致了观察到的不同发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d34/3755701/7583bca6bbcd/opth-7-1661Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d34/3755701/9b04bcdd137e/opth-7-1661Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d34/3755701/7583bca6bbcd/opth-7-1661Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d34/3755701/9b04bcdd137e/opth-7-1661Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d34/3755701/7583bca6bbcd/opth-7-1661Fig2.jpg

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