| Clinical Results of Acrysof IOLs and Acryl-C160 IOLs in Complicated Cataracts. |
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Seung Soo Lee, Hyung Joon Kim |
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Department of Ophthalmology, College of Medicine, Catholic University of Daegu, Korea. hjkim@cuth.cataegu.ac.kr |
| 합병 백내장에서의 Acrysof 인공수정체와 Acryl-C 160 인공수정체의 임상성적 비교 |
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이승수 ( Seung Soo Lee ) , 김형준 ( Hyung Joon Kim ) |
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| Abstract |
PURPOSE
To compare the clinical results of one-piece Acryl IOL C160 (Opthalmed(R), USA) with those of three-piece Acryl IOL AcrySof (MA60BM, Alcon(R), USA) in complicated cataracts. METHODS: In one eye of 30 patients with complicated cataracts, Acryl-C160 IOL was implanted and AcrySof IOL in the other eye. The degrees of anterior capsular fibrosis and posterior capsular opacification together with IOL decentration were evaluated for 12months prospectively. RESULTS: In 9 of 30 eyes with Acryl-C160 IOL, significant fibrosis of anterior capsule was seen as early as 1 month postoperatively. At 12 months, 15 eyes had more than grade 3 of capsular fibrosis. Five eyes had severe contraction of IOL haptic and one eye had significant IOL degradation to be exchanged. On the contrary, 2 of 30 eyes implanted with AcrySof IOL had moderate degree of capsular fibrosis. CONCLUSIONS: In complicated cataracts, Acryl-C160 IOL developed higher incidence of postoperative complications due to the inflammation and poor memory function of IOL haptic. The type and design of IOL haptic together with the function of IOL optic should be considered in selecting the IOLs best fitted in complicated cataracts. |
| Key Words:
Acryl-C160;AcrySof;Anterior capsular fibrosis;Complicated cataract |
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