Comparison Of The Incidence Of Posterior Capsule Opacification (Pco) Requiring Neodymium:Yag (Nd:Yag) Laser Capsulotomy Between Multifocal And Monofocal Intraocular Lenses (Iols)
Published 2022
- 40th Congress of the ESCRS
Reference: PO139
| Type: ESCRS 2022 - Posters
| DOI:
10.82333/j4c9-g116
Authors:
Eunice Jin Hui Goh* 1
, Kong Yong Goh 2
1Ophthalmology,National Healthcare Group Eye Institute,Singapore,Singapore, 2Ophthalmology,Mount Elizabeth Novena Hospital, Singapore,Singapore,Singapore
Purpose
To determine and compare the incidence of visually significant PCOs requiring Nd:YAG laser capsulotomy amongst monofocal aspheric, monofocal spherical, multifocal aspheric and multifocal spherical IOLs.
Setting
A single Ophthalmologist practice at Mount Elizabeth Novena Hospital, Singapore
Methods
A retrospective review of eyes that had phacoemulsification and implantation of both multifocal and monofocal IOLs was conducted. Eyes were matched by age and sex. The PCO rate, Nd:YAG capsulotomy rate and time from surgery to Nd:YAG capsulotomy were assessed. A single ophthalmologist reviewed and performed the surgeries and capsulotomies for all the patients.
Results
506 patients with a total of 802 eyes that underwent cataract surgery were reviewed , from August 2013 to January 2020. The Nd:YAG capsulotomy rate was 4.26% in the monofocal group and 9.09% in the multifocal group. T test was used to compare between Nd:YAG rates between monofocal and multifocal IOLs. This was statistically significantly higher in the multifocal compared to the monofocal group (p <0.01). The time from surgery to Nd:YAG capsulotomy was not significantly different between the 2 groups.
Conclusions
Intraocular lens configurations and differing patient expectations could have resulted in the difference in visually significant PCO rates between multifocal and monofocal IOLs.