The Effect of Anterior Capsule Polishing on Capsular Contraction and Lens Stability in Cataract Patients with High Myopia

Overview

Journal J Ophthalmol

Publisher Wiley

Specialty Ophthalmology

Date 2018 Nov 15

PMID 30425856

Citations 14

Authors

Dandan Wang

Xiaoyu Yu

Zhangliang Li

Xixia Ding

HengLi Lian

Jianyang Mao

Yinying Zhao

Yun-E Zhao

Affiliations

Soon will be listed here.

Abstract

Purpose: To evaluate the effect of anterior capsule polishing in patients with high myopia after cataract surgery.

Setting: The Eye Hospital of Wenzhou Medical University, Zhejiang, China.

Design: Prospective study.

Methods: High myopic patients with a bilateral cataract who underwent phacoemulsification with 360° anterior capsular polishing in one eye and without polishing in the contralateral eye were recruited. The following parameters were recorded at 1, 3, and 6 months postoperatively, including the area and diameter of the anterior capsule opening (area and D), IOL tilt and decentration, refraction, and postoperative aqueous depth (PAD).

Results: Paired samples of 38 eyes of 19 patients were enrolled. The area decreased significantly in both the polished group and unpolished group, whereas the diameter reduced more in the unpolished group. The IOL tilt and decentration at 3-month and 6-month follow-up showed significant differences between two groups. In the unpolished group, the IOL decentration firstly appeared between one-month to three-month visit, while the refraction error, PAD, and IOL tilt were significantly different between the three-month and six-month visits.

Conclusion: 360° anterior capsule polishing can effectively reduce the extent of the anterior capsule contraction and increase the stability of IOL. The study was registered at http://www.clinicaltrials.gov, and the clinical trial accession number is NCT 03142269.

Citing Articles

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References

Olsen T . Calculation of intraocular lens power: a review. Acta Ophthalmol Scand. 2007; 85(5):472-85. DOI: 10.1111/j.1600-0420.2007.00879.x. View

Liu X, Cheng B, Zheng D, Liu Y, Liu Y . Role of anterior capsule polishing in residual lens epithelial cell proliferation. J Cataract Refract Surg. 2010; 36(2):208-14. DOI: 10.1016/j.jcrs.2009.08.020. View

Chomanska U, Krasnicki P, Proniewska-Skretek E, Mariak Z . [Anterior capsule contraction syndrome after cataract phacoemulsification surgery]. Klin Oczna. 2010; 112(7-9):243-6. View

Sacu S, Menapace R, Wirtitsch M, Buehl W, Rainer G, Findl O . Effect of anterior capsule polishing on fibrotic capsule opacification: three-year results. J Cataract Refract Surg. 2004; 30(11):2322-7. DOI: 10.1016/j.jcrs.2004.02.092. View

Abbouda A, Tortorella P, Restivo L, Santoro E, De Marco F, La Cava M . Follow-Up Study of Over Three Years of Patients with Uveitis after Cataract Phacoemulsification: Outcomes and Complications. Semin Ophthalmol. 2015; 31(6):532-41. DOI: 10.3109/08820538.2015.1009554. View

Hanson R, Rubinstein A, Sarangapani S, Benjamin L, Patel C . Effect of lens epithelial cell aspiration on postoperative capsulorhexis contraction with the use of the AcrySof intraocular lens: randomized clinical trial. J Cataract Refract Surg. 2006; 32(10):1621-6. DOI: 10.1016/j.jcrs.2006.04.035. View

Gao Y, Dang G, Wang X, Duan L, Wu X . Influences of anterior capsule polishing on effective lens position after cataract surgery: a randomized controlled trial. Int J Clin Exp Med. 2015; 8(8):13769-75. PMC: 4613009. View

Menapace R, Di Nardo S . Aspiration curette for anterior capsule polishing: laboratory and clinical evaluation. J Cataract Refract Surg. 2006; 32(12):1997-2003. DOI: 10.1016/j.jcrs.2006.07.028. View

Ale J . Intraocular lens tilt and decentration: a concern for contemporary IOL designs. Nepal J Ophthalmol. 2011; 3(1):68-77. DOI: 10.3126/nepjoph.v3i1.4281. View

10.

Rey A, Jurgens I, Dyrda A, Maseras X, Morilla A . SURGICAL OUTCOME OF LATE IN-THE-BAG INTRAOCULAR LENS DISLOCATION TREATED WITH PARS PLANA VITRECTOMY. Retina. 2015; 36(3):576-81. DOI: 10.1097/IAE.0000000000000738. View

11.

Lam J, Chan T, Ng A, Chow V, Wong V, Jhanji V . Outcomes of cataract operations in extreme high axial myopia. Graefes Arch Clin Exp Ophthalmol. 2016; 254(9):1811-7. DOI: 10.1007/s00417-016-3414-y. View

12.

Eppig T, Scholz K, Loffler A, Messner A, Langenbucher A . Effect of decentration and tilt on the image quality of aspheric intraocular lens designs in a model eye. J Cataract Refract Surg. 2009; 35(6):1091-100. DOI: 10.1016/j.jcrs.2009.01.034. View

13.

Guyton D, Uozato H, Wisnicki H . Rapid determination of intraocular lens tilt and decentration through the undilated pupil. Ophthalmology. 1990; 97(10):1259-64. DOI: 10.1016/s0161-6420(90)32422-3. View

14.

Cetinkaya S, Acir N, Cetinkaya Y, Dadaci Z, Yener H, Saglam F . Phacoemulsificatıon in eyes wıth cataract and high myopia. Arq Bras Oftalmol. 2015; 78(5):286-9. DOI: 10.5935/0004-2749.20150076. View

15.

Shah S, Praveen M, Kaul A, Vasavada A, Shah G, Nihalani B . Impact of anterior capsule polishing on anterior capsule opacification after cataract surgery: a randomized clinical trial. Eye (Lond). 2008; 23(8):1702-6. DOI: 10.1038/eye.2008.355. View

16.

Aose M, Matsushima H, Mukai K, Katsuki Y, Gotoh N, Senoo T . Influence of intraocular lens implantation on anterior capsule contraction and posterior capsule opacification. J Cataract Refract Surg. 2014; 40(12):2128-33. DOI: 10.1016/j.jcrs.2014.10.013. View

17.

Fernandez-Buenaga R, Alio J, Perez-Ardoy A, Larrosa-Quesada A, Pinilla-Cortes L, Barraquer R . Late in-the-bag intraocular lens dislocation requiring explantation: risk factors and outcomes. Eye (Lond). 2013; 27(7):795-801. PMC: 3709407. DOI: 10.1038/eye.2013.95. View

18.

Rosales P, de Castro A, Jimenez-Alfaro I, Marcos S . Intraocular lens alignment from purkinje and Scheimpflug imaging. Clin Exp Optom. 2010; 93(6):400-8. DOI: 10.1111/j.1444-0938.2010.00514.x. View

19.

Baile R, Sahasrabuddhe M, Nadkarni S, Karira V, Kelkar J . Effect of anterior capsular polishing on the rate of posterior capsule opacification: A retrospective analytical study. Saudi J Ophthalmol. 2013; 26(1):101-4. PMC: 3729577. DOI: 10.1016/j.sjopt.2010.11.006. View

20.

Spang K, Rohrbach J, Weidle E . Complete occlusion of the anterior capsular opening after intact capsulorhexis: clinicopathologic correlation. Am J Ophthalmol. 1999; 127(3):343-5. DOI: 10.1016/s0002-9394(98)00323-7. View