Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

Users Online : 29470

Original article / research
Year : 2017 | Month : October | Volume : 11 | Issue : 10 | Page : NC13 - NC16

Comparison of Posterior Capsular Opacification with Hydrophilic and Hydrophobic Acrylic Posterior Chamber Intraocular Lens after Cataract Surgery

Abhay Karman Khurana, Anuradha Raj, Harsh Bahadur

1. Junior Resident, Department of Ophthalmology, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand, India. 2. Associate Professor, Department of Ophthalmology, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand, India. 3. Professor, Department of Ophthalmology, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.

Correspondence Address :
Dr. Anuradha Raj,
Associate Professor, Department of Ophthalmology, Himalayan Institute of Medical Sciences,
Swami Rama Himalayan University, Dehradun-248140, Uttarakhand, India.
E-mail: dranuradha_sagar@yahoo.com

Abstract

Introduction: Posterior Capsule Opacification (PCO) is a type of membrane formation composed from pearls, fibrotic and Soemmering’s rings on the posterior capsule. It is a multifactorial physiological consequence of cataract surgery with Posterior Chamber Intraocular Lens (PCIOL).

Aim: To evaluate the difference in the incidence of PCO between hydrophilic and hydrophobic acrylic Intraocular Lens (IOL).

Materials and Methods: This observational study was conducted over a period of 12 months and patients attending Department of Ophthalmology were incorporated in the study. A total of 112 eyes of 106 patients with age related cataract were included in the study. Patients were divided into two groups, group I had 55 eyes which underwent cataract surgery with hydrophilic PCIOL and group II had 57 eyes which underwent cataract surgery with hydrophobic PCIOL. PCO analysis was done on subsequent follow-ups, at one month, three months and six months with the help of retroilluminated images taken with slit lamp guided anterior segment photography.

Results: PCO grade 2 was seen to be most common among both Group I {31 (56.4%)} and Group II {38 (66.7%)} eyes. PCO grade 3 was seen among 20 (36.4%) eyes in group I and 10 (17.5%) eyes in group II which was 2.7 times more in group I as compared to group II. PCO grade 3 was also found to be more prevalent among young patients, diabetics and in patients with immature cataracts.

Conclusion:The incidence of PCO is higher with the hydrophilic IOL. However, the increased incidence of PCO is also attributed to young age of patient, presence of diabetes mellitus and immature cataract grade. These are factors known to be associated with higher incidence of PCO.

Keywords

Diabetes mellitus, Lens epithelial cells, Lens opacities classification system III

How to cite this article :

Abhay Karman Khurana, Anuradha Raj, Harsh Bahadur. COMPARISON OF POSTERIOR CAPSULAR OPACIFICATION WITH HYDROPHILIC AND HYDROPHOBIC ACRYLIC POSTERIOR CHAMBER INTRAOCULAR LENS AFTER CATARACT SURGERY. Journal of Clinical and Diagnostic Research [serial online] 2017 October [cited: 2018 Jan 19 ]; 11:NC13-NC16. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=October&volume=11&issue=10&page=NC13-NC16&id=10761

DOI and Others

DOI: 10.7860/JCDR/2017/28243.10761

Date of Submission: Mar 09, 2017
Date of Peer Review: May 22, 2017
Date of Acceptance: Aug 29, 2017
Date of Publishing: Oct 01, 2017

FINANCIAL OR OTHER COMPETINGINTERESTS: None.

JCDR is now Monthly and more widely Indexed .
  • Emerging Sources Citation Index (Web of Science, thomsonreuters)
  • Index Copernicus ICV 2016: 132.37
  • SCOPUS
  • Academic Search Complete Database
  • Directory of Open Access Journals (DOAJ)
  • EBSCOhost
  • Embase & EMbiology
  • Google Scholar
  • HINARI Access to Research in Health Programme
  • Indian Science Abstracts (ISA)
  • Journal seek Database
  • Google
  • Popline (reproductive health literature)
  • www.omnimedicalsearch.com