RESUMEN
@#AIM: To evaluate the influence of lens capsule contraction on intraocular lens(IOL)decentration after cataract surgery.<p>METHODS: Totally 40 cases(40 eyes)of senile cataract underwent phacoemulsification combined with IOL implantation. Within 3mo after operation, the anterior capsule opening area was measured by Photoshop software, the IOL decentration was measured by iTrace visual quality analyzer. The influence of anterior capsule opening area on IOL decentration was assessed by Pearson correlation analysis.<p>RESULTS: At 1d, 1mo and 3mo after operation, anterior capsule opening area was gradually reduced, the difference between different time points was statistically significant(<i>P</i><0.01); IOL decentration gradually increased, and the difference between different time points was statistically significant(<i>P</i><0.01); the visual acuity of patients decreased gradually, and the difference between different time points was statistically significant(<i>P</i><0.01). The change of anterior capsule opening area was positively correlated with IOL decentration(<i>r</i>=0.566, <i>P</i><0.05), but there was no significant correlation between visual acuity and IOL decentration(<i>r</i>= -0.104, <i>P</i>> 0.05), the change of anterior capsule opening area was negatively correlated with the initial anterior capsule opening area(<i>r</i>= -0.476, <i>P</i><0.05).<p>CONCLUSION: The anterior capsule contraction after cataract surgery can lead to IOL decentration.
RESUMEN
Objective To observe the clinical effect of anterior capsule relaxing incisions with Nd:YAG laser in treating postop-erative anterior capsule contraction in high-risk cataract patients.Methods 120 high-risk cataract patients with postoperative ante-rior capsule contraction collected from December 2010 to November 2012 were divided into experimental group(performed the ante-rior capsule relaxing incisions on postoperative 3 d)and control group.The anterior capsule opening area was measured immediately after laser operation(baseline),in postoperative 1,3,6 months by using the Scheimpflug video photogeaphy system,and the descent rate of the opening area was simultaneously calculated.The decentration degree and tilt of intraocular lens(IOL),posterior capsule opacification and other complications were also assessed.Results Of the observed 120 cases,40 cases were pseudo posterior capsule stripping syndrome,40 cases were primary angle closure and 40 cases were diabetic retinopathy.There was no statistically signifi-cant difference in the baseline value of the opening area between the experimental group and the control group(P>0.05).In the ca-ses of primary angle closure 1,3,6 months after operation,the anterior capsule opening area in the experimental group was signifi-cantly increased compared with the control group(P0.05),the descent rate of the opening area was significantly diminished(P<0.05).No significant differences were found in the aspects of IOL decen-tration and tilt,posterior capsule opacity,or other complications.Conclusion YAG laser anterior capsule relaxing incisions in the early period after cataract surgery is safe and effective in preventing anterior capsule contraction in high-risk patients.