Comparison of Nd:YAG Laser Capsulotomy Rates Between Refractive Segmented Multifocal and Multifocal Toric Intraocular Lenses
- Authors
- Kim, J.W.; Eom, Y.; Yoon, E.G.; Choi, Y.; Song, J.S.; Jeong, J.W.; Park, S.K.; Kim, H.M.
- Issue Date
- Feb-2021
- Publisher
- Elsevier Inc.
- Citation
- American Journal of Ophthalmology, v.222, pp.359 - 367
- Indexed
- SCIE
SCOPUS
- Journal Title
- American Journal of Ophthalmology
- Volume
- 222
- Start Page
- 359
- End Page
- 367
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/49387
- DOI
- 10.1016/j.ajo.2020.09.046
- ISSN
- 0002-9394
- Abstract
- Purpose: To investigate the early incidence of neodymium-doped yttrium aluminum garnet (Nd:YAG) laser capsulotomy according to intraocular lens (IOL) type (nontoric vs toric) and surgical techniques (femtosecond laser–assisted cataract surgery vs conventional phacoemulsification) in eyes with refractive multifocal IOLs. Design: Retrospective case-control study. Methods: Nine hundred thirteen eyes from 483 patients implanted with Lentis Mplus LS-313 MF20 (767 eyes) or Lentis Mplus Toric LU-313 MF20T (146 eyes) IOLs (Oculentis GmbH, Berlin, Germany) were enrolled. We compared the incidence of Nd:YAG laser capsulotomy between the nontoric and toric groups. In addition, the incidence of Nd:YAG laser capsulotomy was also evaluated according to the surgical technique used. Results: The overall incidence of Nd:YAG laser capsulotomy was 10.2% (93/913 eyes). The Nd:YAG laser capsulotomy rate was significantly higher in the toric group (24/146; 16.4%) than in the nontoric group (69/767; 9.0%; P = .007). Of the 913 enrolled eyes, 448 eyes (49.1%) underwent femtosecond laser–assisted cataract surgery and 465 eyes (50.9%) underwent conventional phacoemulsification cataract surgery. There was no significant difference in the incidence of Nd:YAG laser capsulotomy between eyes with femtosecond laser–assisted cataract surgery and eyes with conventional phacoemulsification cataract surgery. Conclusion: Patients with refractive multifocal toric IOLs had higher early incidence rates of Nd:YAG laser capsulotomy when compared to those with refractive multifocal nontoric IOLs. Furthermore, femtosecond laser–assisted cataract surgery could not reduce the early incidence of Nd:YAG laser capsulotomy in this study. © 2020 Elsevier Inc.
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