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Titolo:
Posterior capsular opacification in phacotrabeculectomy - A long-term comparative study of silicone versus acrylic intraocular lens
Autore:
Ober, MD; Lemon, LC; Shin, DH; Nootheti, P; Cha, SC; Kim, PH;
Indirizzi:
Wayne State Univ, Sch Med, Kresge Eye Inst, Detroit, MI 48201 USA Wayne State Univ Detroit MI USA 48201 sge Eye Inst, Detroit, MI 48201 USA
Titolo Testata:
OPHTHALMOLOGY
fascicolo: 10, volume: 107, anno: 2000,
pagine: 1868 - 1873
SICI:
0161-6420(200010)107:10<1868:PCOIP->2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
GLAUCOMA TRIPLE PROCEDURE; EXTRACAPSULAR CATARACT-EXTRACTION; COMBINED TRABECULECTOMY; MITOMYCIN-C; ADJUNCTIVE MITOMYCIN; FILTRATION FAILURE; PROGNOSTIC FACTORS; CELLULAR REACTION; IMPLANTATION; SURGERY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
35
Recensione:
Indirizzi per estratti:
Indirizzo: Shin, DH Wayne State Univ, Sch Med, Kresge Eye Inst, 4717 St Antoine Blvd,Detroit,MI 48201 USA Wayne State Univ 4717 St Antoine Blvd Detroit MI USA 48201 01 USA
Citazione:
M.D. Ober et al., "Posterior capsular opacification in phacotrabeculectomy - A long-term comparative study of silicone versus acrylic intraocular lens", OPHTHALMOL, 107(10), 2000, pp. 1868-1873

Abstract

Purpose: To investigate the long-term outcomes of silicone versus acrylic intraocular lens (IOL) implantation in phacotrabeculectomy (PT) with special emphasis on posterior capsular opacification. Design: Long-term follow-up on prior I-year prospective, randomized study. Participants: A total of 200 eyes of 200 consecutive primary open-angle glaucoma patients who had undergone primary PT with capsular bag implantationof either a silicone IOL (102 eyes) or an acrylic IOL (98 eyes) according to the initial short-term prospective, randomized study protocol. Intervention: The study eyes underwent primary trabeculectomy, phacoemulsification, and posterior chamber IOL implantation. Adjunctive mitomycin C was used selectively, primarily in patients with one or more risk factors forfiltration failure. Main Outcome Measures: Incidence of posterior capsular opacification (PCO), best-corrected visual acuity (BCVA), intraocular pressure (IOP), number of pressure-lowering medications, and filtration success rates, defined as maintenance of target IOP while on one (criteria 1) or zero (criteria 2) pressure-lowering medications without further surgical intervention. Results: At 3-year follow-up, the PCO rate and BCVA did not differ significantly between the two groups (P > 0.05 for both). In addition, there were no significant differences in IOP, number of medications, and filtration success rate between the two groups (P > 0.05 for each). Conclusions: There were no significant long-term differences between the silicone and acrylic IOL groups in PCO, BCVA, IOP, number of medications, and success of filtration surgery after PT. Both groups attained significant improvement in BCVA and IOP control after surgery. Ophthalmology 2000; 107:1868-1874 (C) 2000 by the American Academy of Ophthalmology.

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Documento generato il 27/11/20 alle ore 12:58:38