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Early-Onset Posterior Capsule Opacification: Incidence, Severity, and Risk Factors

INTRODUCTION: To evaluate the incidence, severity, and risk factors of early-onset posterior capsule opacification (PCO) following uneventful phacoemulsification and intraocular lens (IOL) implantation. METHODS: Patients with cataracts who underwent phacoemulsification and IOL implantation surgery f...

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Autores principales: Gu, Xiaoxun, Chen, Xiaoyun, Jin, Guangming, Wang, Lanhua, Zhang, Enen, Wang, Wei, Liu, Zhenzhen, Luo, Lixia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Healthcare 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8770765/
https://www.ncbi.nlm.nih.gov/pubmed/34727350
http://dx.doi.org/10.1007/s40123-021-00408-4
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author Gu, Xiaoxun
Chen, Xiaoyun
Jin, Guangming
Wang, Lanhua
Zhang, Enen
Wang, Wei
Liu, Zhenzhen
Luo, Lixia
author_facet Gu, Xiaoxun
Chen, Xiaoyun
Jin, Guangming
Wang, Lanhua
Zhang, Enen
Wang, Wei
Liu, Zhenzhen
Luo, Lixia
author_sort Gu, Xiaoxun
collection PubMed
description INTRODUCTION: To evaluate the incidence, severity, and risk factors of early-onset posterior capsule opacification (PCO) following uneventful phacoemulsification and intraocular lens (IOL) implantation. METHODS: Patients with cataracts who underwent phacoemulsification and IOL implantation surgery for 3 months from September 2019 to April 2020 were enrolled. All the subjects completed a comprehensive ocular examination. Retroillumination images of the posterior capsule were obtained using a slit lamp with imaging system, and PCO was graded by two ophthalmologists. Univariate and multivariate logistic regression analyses were performed to assess the risk factors for PCO. RESULTS: A total of 1039 subjects were enrolled, with mean age 66.68 ± 11.43 years and 42.06% were male. The incidence of early-onset PCO in the 3 months after cataract surgery was 29.93%, and PCO of grade 3 and grade 4 was present in 31 patients (2.98%). Patients with complicated cataract had a higher incidence of PCO than age-related cataract, especially for patients with previous pars plana vitrectomy (PPV) surgery (P < 0.001). Moreover, the incidence of PCO increased with the deficiency of capsulorhexis–IOL overlap (P < 0.001). Multivariate logistic regression also showed that previous PPV surgery (OR 2.664, P = 0.003) and incomplete capsulorhexis–IOL overlap were risk factors for PCO (180–360° overlap: OR 2.058, P < 0.001; < 180° overlap: OR 5.403, P < 0.001). CONCLUSIONS: Larger capsulorhexis and PPV surgery history contribute to the occurrence of early-onset PCO, indicating that primary posterior continuous curvilinear capsulorhexis can be considered during cataract surgery for patients with PPV history.
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spelling pubmed-87707652022-02-02 Early-Onset Posterior Capsule Opacification: Incidence, Severity, and Risk Factors Gu, Xiaoxun Chen, Xiaoyun Jin, Guangming Wang, Lanhua Zhang, Enen Wang, Wei Liu, Zhenzhen Luo, Lixia Ophthalmol Ther Original Research INTRODUCTION: To evaluate the incidence, severity, and risk factors of early-onset posterior capsule opacification (PCO) following uneventful phacoemulsification and intraocular lens (IOL) implantation. METHODS: Patients with cataracts who underwent phacoemulsification and IOL implantation surgery for 3 months from September 2019 to April 2020 were enrolled. All the subjects completed a comprehensive ocular examination. Retroillumination images of the posterior capsule were obtained using a slit lamp with imaging system, and PCO was graded by two ophthalmologists. Univariate and multivariate logistic regression analyses were performed to assess the risk factors for PCO. RESULTS: A total of 1039 subjects were enrolled, with mean age 66.68 ± 11.43 years and 42.06% were male. The incidence of early-onset PCO in the 3 months after cataract surgery was 29.93%, and PCO of grade 3 and grade 4 was present in 31 patients (2.98%). Patients with complicated cataract had a higher incidence of PCO than age-related cataract, especially for patients with previous pars plana vitrectomy (PPV) surgery (P < 0.001). Moreover, the incidence of PCO increased with the deficiency of capsulorhexis–IOL overlap (P < 0.001). Multivariate logistic regression also showed that previous PPV surgery (OR 2.664, P = 0.003) and incomplete capsulorhexis–IOL overlap were risk factors for PCO (180–360° overlap: OR 2.058, P < 0.001; < 180° overlap: OR 5.403, P < 0.001). CONCLUSIONS: Larger capsulorhexis and PPV surgery history contribute to the occurrence of early-onset PCO, indicating that primary posterior continuous curvilinear capsulorhexis can be considered during cataract surgery for patients with PPV history. Springer Healthcare 2021-11-02 2022-02 /pmc/articles/PMC8770765/ /pubmed/34727350 http://dx.doi.org/10.1007/s40123-021-00408-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/Open AccessThis article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Gu, Xiaoxun
Chen, Xiaoyun
Jin, Guangming
Wang, Lanhua
Zhang, Enen
Wang, Wei
Liu, Zhenzhen
Luo, Lixia
Early-Onset Posterior Capsule Opacification: Incidence, Severity, and Risk Factors
title Early-Onset Posterior Capsule Opacification: Incidence, Severity, and Risk Factors
title_full Early-Onset Posterior Capsule Opacification: Incidence, Severity, and Risk Factors
title_fullStr Early-Onset Posterior Capsule Opacification: Incidence, Severity, and Risk Factors
title_full_unstemmed Early-Onset Posterior Capsule Opacification: Incidence, Severity, and Risk Factors
title_short Early-Onset Posterior Capsule Opacification: Incidence, Severity, and Risk Factors
title_sort early-onset posterior capsule opacification: incidence, severity, and risk factors
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8770765/
https://www.ncbi.nlm.nih.gov/pubmed/34727350
http://dx.doi.org/10.1007/s40123-021-00408-4
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