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. 2020 May;68(5):780-785.
doi: 10.4103/ijo.IJO_1787_19.

Impact of anterior capsular polishing on capsule opacification rate in eyes undergoing femtosecond laser-assisted cataract surgery

Gitansha S Sachdev  1 , B Soundarya  1 , Shreyas Ramamurthy  1 , Charanya Lakshmi  1 , Ramamurthy Dandapani  1
Affiliations

Impact of anterior capsular polishing on capsule opacification rate in eyes undergoing femtosecond laser-assisted cataract surgery

Gitansha S Sachdev et al. Indian J Ophthalmol. 2020 May.

Abstract

Purpose: To evaluate the impact of anterior capsular polishing on capsule opacification and contraction in eyes undergoing femtosecond laser-assisted cataract surgery (FLACS).

Methods: This prospective interventional comparative analysis included patients undergoing FLACS between August 2016 and May 2017. The eyes were subdivided into three groups based on the extent of intraoperative anterior capsular polishing performed: complete 360-degree polishing; inferior 180-degree polishing; and no polishing. Visual acuity, posterior capsular opacification (PCO) score, anterior capsular opacification (ACO) grade, and capsulorhexis diameter were evaluated at 1-week, 6-months, and 1-year postoperative visits.

Results: The study included 99 eyes of 90 patients. No significant differences were observed between the three groups in ACO grade and capsulorhexis contraction at all follow-up visits. There was a statistically significant difference in PCO grade among the groups at 6-month and 1-year follow-up but it was found to be clinically insignificant. One eye in the no polishing group underwent neodymium:yttrium-aluminum-garnet (Nd:YAG) capsulotomy at the 1-year follow-up visit.

Conclusion: A lower incidence of PCO was demonstrated in the 360-degree polishing group, although it was visually insignificant. No significant difference in postoperative capsular contraction was demonstrated between the cohorts up to one-year follow-up.

Keywords: Anterior capsular polishing; capsular contraction; capsular opacification; femtosecond laser-assisted cataract surgery.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
Standard graphs for reporting surgical outcomes following femtosecond laser-assisted cataract surgery (FLACS) with complete anterior capsular polishing (a) cumulative visual acuity, (b) safety, (c) accuracy, (d) spherical equivalent
Figure 2
Figure 2
Standard graphs for reporting surgical outcomes following FLACS with inferior anterior capsular polishing (a) cumulative visual acuity, (b) safety, (c) accuracy, (d) spherical equivalent
Figure 3
Figure 3
Standard graphs for reporting surgical outcomes following FLACS with no capsular polishing (a) cumulative visual acuity, (b) safety, (c) accuracy, (d) spherical equivalent
Figure 4
Figure 4
Cluster bar diagram comparison of polishing with anterior capsular opacification (ACO) grade at different follow-up periods (a) 1-week, (b) 6-month, and (c) 1-year postoperative visit
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