Efficacy of Different Intraocular Lens Materials and Optic Edge Designs in Preventing Posterior Capsular Opacification: A Meta-Analysis
Purpose To evaluate the efficacy of different intraocular lens (IOL) materials and optic edge designs in preventing posterior capsular opacification (PCO). Design Systematic review and meta-analysis. Methods Pertinent studies were selected through an electronic search of the Cochrane Library, MEDLIN...
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| Veröffentlicht in: | American journal of ophthalmology 2007-03, Vol.143 (3), p.428-436.e3 |
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| creator | Cheng, Jin-Wei, MD Wei, Rui-Li, MD Cai, Ji-Ping, MD Xi, Gui-Lin, MD Zhu, Huang, MD Li, You, MD Ma, Xiao-Ye, MD |
| description | Purpose To evaluate the efficacy of different intraocular lens (IOL) materials and optic edge designs in preventing posterior capsular opacification (PCO). Design Systematic review and meta-analysis. Methods Pertinent studies were selected through an electronic search of the Cochrane Library, MEDLINE, and Embase. The randomized controlled trials meeting the predefined criteria were reviewed systematically by meta-analysis. The treatment effects were measured as risk difference, and the pooled estimates were computed according to a random effect model. Results In total, 23 randomized controlled trials were included in the present meta-analysis. The pooled risk differences of Nd:YAG laser capsulotomy rates were −24% (95% confidence interval [CI], −29% to −20%) comparing acrylic with polymethylmethacrylate (PMMA) lenses; −9% (95% CI, −17% to −1%) comparing silicone with PMMA lenses; 14% (95% CI, −8% to 36%) comparing hydrogel with PMMA lenses; 4% (95% CI, −2% to 10%) comparing silicone with acrylic lenses; 19% (95% CI, 8% to 30%) comparing hydrogel with acrylic lenses; and 28% (95% CI, 10% to 46%) comparing hydrogel with silicone lenses. The pooled risk differences of PCO rates were −39% (95% CI, −47% to −31%) comparing acrylic with PMMA lenses; −14% (95% CI, −29% to 0%) comparing silicone with acrylic lenses; 56% (95% CI, 36% to 75%) comparing hydrogel with acrylic lenses; and 48% (95% CI, 31% to 64%) comparing hydrogel with silicone lenses. When comparing sharp with rounded-edge designs, pooled risk differences of capsulotomy rates were −47% (95% CI, −77% to −17%) in PMMA lenses, −22% (95% CI, −47% to 2%) in acrylic lenses, and −9% (95% CI, −17% to 0%) in silicone lenses; pooled risk differences of PCO rates were −28% (95% CI, −50% to −7%) in acrylic lenses and −37% (95% CI, −46% to −27%) in silicone lenses. Conclusions The rates of PCO and Nd:YAG laser capsulotomy may be influenced by different IOL biomaterials and optic edge designs. The lenses made by acrylic and silicone and those with sharp optic edges are superior in lowering the rates of PCO and laser capsulotomy. |
| doi_str_mv | 10.1016/j.ajo.2006.11.045 |
| format | Article |
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Design Systematic review and meta-analysis. Methods Pertinent studies were selected through an electronic search of the Cochrane Library, MEDLINE, and Embase. The randomized controlled trials meeting the predefined criteria were reviewed systematically by meta-analysis. The treatment effects were measured as risk difference, and the pooled estimates were computed according to a random effect model. Results In total, 23 randomized controlled trials were included in the present meta-analysis. The pooled risk differences of Nd:YAG laser capsulotomy rates were −24% (95% confidence interval [CI], −29% to −20%) comparing acrylic with polymethylmethacrylate (PMMA) lenses; −9% (95% CI, −17% to −1%) comparing silicone with PMMA lenses; 14% (95% CI, −8% to 36%) comparing hydrogel with PMMA lenses; 4% (95% CI, −2% to 10%) comparing silicone with acrylic lenses; 19% (95% CI, 8% to 30%) comparing hydrogel with acrylic lenses; and 28% (95% CI, 10% to 46%) comparing hydrogel with silicone lenses. The pooled risk differences of PCO rates were −39% (95% CI, −47% to −31%) comparing acrylic with PMMA lenses; −14% (95% CI, −29% to 0%) comparing silicone with acrylic lenses; 56% (95% CI, 36% to 75%) comparing hydrogel with acrylic lenses; and 48% (95% CI, 31% to 64%) comparing hydrogel with silicone lenses. When comparing sharp with rounded-edge designs, pooled risk differences of capsulotomy rates were −47% (95% CI, −77% to −17%) in PMMA lenses, −22% (95% CI, −47% to 2%) in acrylic lenses, and −9% (95% CI, −17% to 0%) in silicone lenses; pooled risk differences of PCO rates were −28% (95% CI, −50% to −7%) in acrylic lenses and −37% (95% CI, −46% to −27%) in silicone lenses. Conclusions The rates of PCO and Nd:YAG laser capsulotomy may be influenced by different IOL biomaterials and optic edge designs. The lenses made by acrylic and silicone and those with sharp optic edges are superior in lowering the rates of PCO and laser capsulotomy.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/j.ajo.2006.11.045</identifier><identifier>PMID: 17224119</identifier><identifier>CODEN: AJOPAA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Acrylic Resins ; Biocompatible Materials ; Biological and medical sciences ; Biomedical materials ; Cataract - prevention & control ; Cataracts ; Clinical trials ; Confidence intervals ; Drug therapy ; Eye surgery ; Humans ; Hydrogels ; Laser Therapy - statistics & numerical data ; Lens Capsule, Crystalline - pathology ; Lens Capsule, Crystalline - surgery ; Lens Implantation, Intraocular ; Lenses, Intraocular ; Medical sciences ; Meta-analysis ; Miscellaneous ; Ophthalmology ; Optics ; Phacoemulsification ; Polymethyl Methacrylate ; Postoperative Complications - prevention & control ; Prosthesis Design ; Quality ; Randomized Controlled Trials as Topic ; Risk Factors ; Silicone Elastomers ; Statistical methods ; Studies ; Surgery</subject><ispartof>American journal of ophthalmology, 2007-03, Vol.143 (3), p.428-436.e3</ispartof><rights>Elsevier Inc.</rights><rights>2007 Elsevier Inc.</rights><rights>2007 INIST-CNRS</rights><rights>Copyright Elsevier Limited Mar 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c464t-e688be9b6e5ec1513f84faf25ceb05cea93cd93b7363b6f20d1af49297856f323</citedby><cites>FETCH-LOGICAL-c464t-e688be9b6e5ec1513f84faf25ceb05cea93cd93b7363b6f20d1af49297856f323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajo.2006.11.045$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18825802$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17224119$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheng, Jin-Wei, MD</creatorcontrib><creatorcontrib>Wei, Rui-Li, MD</creatorcontrib><creatorcontrib>Cai, Ji-Ping, MD</creatorcontrib><creatorcontrib>Xi, Gui-Lin, MD</creatorcontrib><creatorcontrib>Zhu, Huang, MD</creatorcontrib><creatorcontrib>Li, You, MD</creatorcontrib><creatorcontrib>Ma, Xiao-Ye, MD</creatorcontrib><title>Efficacy of Different Intraocular Lens Materials and Optic Edge Designs in Preventing Posterior Capsular Opacification: A Meta-Analysis</title><title>American journal of ophthalmology</title><addtitle>Am J Ophthalmol</addtitle><description>Purpose To evaluate the efficacy of different intraocular lens (IOL) materials and optic edge designs in preventing posterior capsular opacification (PCO). Design Systematic review and meta-analysis. Methods Pertinent studies were selected through an electronic search of the Cochrane Library, MEDLINE, and Embase. The randomized controlled trials meeting the predefined criteria were reviewed systematically by meta-analysis. The treatment effects were measured as risk difference, and the pooled estimates were computed according to a random effect model. Results In total, 23 randomized controlled trials were included in the present meta-analysis. The pooled risk differences of Nd:YAG laser capsulotomy rates were −24% (95% confidence interval [CI], −29% to −20%) comparing acrylic with polymethylmethacrylate (PMMA) lenses; −9% (95% CI, −17% to −1%) comparing silicone with PMMA lenses; 14% (95% CI, −8% to 36%) comparing hydrogel with PMMA lenses; 4% (95% CI, −2% to 10%) comparing silicone with acrylic lenses; 19% (95% CI, 8% to 30%) comparing hydrogel with acrylic lenses; and 28% (95% CI, 10% to 46%) comparing hydrogel with silicone lenses. The pooled risk differences of PCO rates were −39% (95% CI, −47% to −31%) comparing acrylic with PMMA lenses; −14% (95% CI, −29% to 0%) comparing silicone with acrylic lenses; 56% (95% CI, 36% to 75%) comparing hydrogel with acrylic lenses; and 48% (95% CI, 31% to 64%) comparing hydrogel with silicone lenses. When comparing sharp with rounded-edge designs, pooled risk differences of capsulotomy rates were −47% (95% CI, −77% to −17%) in PMMA lenses, −22% (95% CI, −47% to 2%) in acrylic lenses, and −9% (95% CI, −17% to 0%) in silicone lenses; pooled risk differences of PCO rates were −28% (95% CI, −50% to −7%) in acrylic lenses and −37% (95% CI, −46% to −27%) in silicone lenses. Conclusions The rates of PCO and Nd:YAG laser capsulotomy may be influenced by different IOL biomaterials and optic edge designs. The lenses made by acrylic and silicone and those with sharp optic edges are superior in lowering the rates of PCO and laser capsulotomy.</description><subject>Acrylic Resins</subject><subject>Biocompatible Materials</subject><subject>Biological and medical sciences</subject><subject>Biomedical materials</subject><subject>Cataract - prevention & control</subject><subject>Cataracts</subject><subject>Clinical trials</subject><subject>Confidence intervals</subject><subject>Drug therapy</subject><subject>Eye surgery</subject><subject>Humans</subject><subject>Hydrogels</subject><subject>Laser Therapy - statistics & numerical data</subject><subject>Lens Capsule, Crystalline - pathology</subject><subject>Lens Capsule, Crystalline - surgery</subject><subject>Lens Implantation, Intraocular</subject><subject>Lenses, Intraocular</subject><subject>Medical sciences</subject><subject>Meta-analysis</subject><subject>Miscellaneous</subject><subject>Ophthalmology</subject><subject>Optics</subject><subject>Phacoemulsification</subject><subject>Polymethyl Methacrylate</subject><subject>Postoperative Complications - prevention & control</subject><subject>Prosthesis Design</subject><subject>Quality</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Risk Factors</subject><subject>Silicone Elastomers</subject><subject>Statistical methods</subject><subject>Studies</subject><subject>Surgery</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ktGKEzEUhgdR3Lr6AN5IQPRuak4mk5koCKVbdaFLF9TrkMmclNRppiYzC30CX9uMLRT2wpuEwPf_Oef8J8teA50DBfFhN9e7fs4oFXOAOeXlk2wGdSVzqCU8zWaUUpbLQvKr7EWMu_QUFa-eZ1dQMcYB5Cz7s7LWGW2OpLfkxlmLAf1Abv0QdG_GTgeyRh_JnR4wON1Fon1LNofBGbJqt0huMLptApwn9wEfktj5Lbnv48T3gSz1If6z2Ry0cdNfg-v9R7IgdzjofOF1d4wuvsye2eSOr873dfbzy-rH8lu-3ny9XS7WueGCDzmKum5QNgJLNFBCYWtutWWlwYamQ8vCtLJoqkIUjbCMtqAtl0xWdSlswYrr7P3J9xD63yPGQe1dNNh12mM_RiUk5bTkPIFvH4G7fgyp2qhAcC4FMKgTBSfKhD7GgFYdgtvrcFRA1ZSR2qmUkZoyUgAqZZQ0b87OY7PH9qI4h5KAd2dAR6M7G7Q3Ll64umZlTadePp04TAN7cBhUNA69wdYFNINqe_ffMj4_UpvO-ZRP9wuPGC_dqsgUVd-nZZp2iQoKRVnK4i8mBcQO</recordid><startdate>20070301</startdate><enddate>20070301</enddate><creator>Cheng, Jin-Wei, MD</creator><creator>Wei, Rui-Li, MD</creator><creator>Cai, Ji-Ping, MD</creator><creator>Xi, Gui-Lin, MD</creator><creator>Zhu, Huang, MD</creator><creator>Li, You, MD</creator><creator>Ma, Xiao-Ye, MD</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20070301</creationdate><title>Efficacy of Different Intraocular Lens Materials and Optic Edge Designs in Preventing Posterior Capsular Opacification: A Meta-Analysis</title><author>Cheng, Jin-Wei, MD ; Wei, Rui-Li, MD ; Cai, Ji-Ping, MD ; Xi, Gui-Lin, MD ; Zhu, Huang, MD ; Li, You, MD ; Ma, Xiao-Ye, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c464t-e688be9b6e5ec1513f84faf25ceb05cea93cd93b7363b6f20d1af49297856f323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Acrylic Resins</topic><topic>Biocompatible Materials</topic><topic>Biological and medical sciences</topic><topic>Biomedical materials</topic><topic>Cataract - prevention & control</topic><topic>Cataracts</topic><topic>Clinical trials</topic><topic>Confidence intervals</topic><topic>Drug therapy</topic><topic>Eye surgery</topic><topic>Humans</topic><topic>Hydrogels</topic><topic>Laser Therapy - statistics & numerical data</topic><topic>Lens Capsule, Crystalline - pathology</topic><topic>Lens Capsule, Crystalline - surgery</topic><topic>Lens Implantation, Intraocular</topic><topic>Lenses, Intraocular</topic><topic>Medical sciences</topic><topic>Meta-analysis</topic><topic>Miscellaneous</topic><topic>Ophthalmology</topic><topic>Optics</topic><topic>Phacoemulsification</topic><topic>Polymethyl Methacrylate</topic><topic>Postoperative Complications - prevention & control</topic><topic>Prosthesis Design</topic><topic>Quality</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Risk Factors</topic><topic>Silicone Elastomers</topic><topic>Statistical methods</topic><topic>Studies</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheng, Jin-Wei, MD</creatorcontrib><creatorcontrib>Wei, Rui-Li, MD</creatorcontrib><creatorcontrib>Cai, Ji-Ping, MD</creatorcontrib><creatorcontrib>Xi, Gui-Lin, MD</creatorcontrib><creatorcontrib>Zhu, Huang, MD</creatorcontrib><creatorcontrib>Li, You, MD</creatorcontrib><creatorcontrib>Ma, Xiao-Ye, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheng, Jin-Wei, MD</au><au>Wei, Rui-Li, MD</au><au>Cai, Ji-Ping, MD</au><au>Xi, Gui-Lin, MD</au><au>Zhu, Huang, MD</au><au>Li, You, MD</au><au>Ma, Xiao-Ye, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of Different Intraocular Lens Materials and Optic Edge Designs in Preventing Posterior Capsular Opacification: A Meta-Analysis</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>2007-03-01</date><risdate>2007</risdate><volume>143</volume><issue>3</issue><spage>428</spage><epage>436.e3</epage><pages>428-436.e3</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><coden>AJOPAA</coden><abstract>Purpose To evaluate the efficacy of different intraocular lens (IOL) materials and optic edge designs in preventing posterior capsular opacification (PCO). Design Systematic review and meta-analysis. Methods Pertinent studies were selected through an electronic search of the Cochrane Library, MEDLINE, and Embase. The randomized controlled trials meeting the predefined criteria were reviewed systematically by meta-analysis. The treatment effects were measured as risk difference, and the pooled estimates were computed according to a random effect model. Results In total, 23 randomized controlled trials were included in the present meta-analysis. The pooled risk differences of Nd:YAG laser capsulotomy rates were −24% (95% confidence interval [CI], −29% to −20%) comparing acrylic with polymethylmethacrylate (PMMA) lenses; −9% (95% CI, −17% to −1%) comparing silicone with PMMA lenses; 14% (95% CI, −8% to 36%) comparing hydrogel with PMMA lenses; 4% (95% CI, −2% to 10%) comparing silicone with acrylic lenses; 19% (95% CI, 8% to 30%) comparing hydrogel with acrylic lenses; and 28% (95% CI, 10% to 46%) comparing hydrogel with silicone lenses. The pooled risk differences of PCO rates were −39% (95% CI, −47% to −31%) comparing acrylic with PMMA lenses; −14% (95% CI, −29% to 0%) comparing silicone with acrylic lenses; 56% (95% CI, 36% to 75%) comparing hydrogel with acrylic lenses; and 48% (95% CI, 31% to 64%) comparing hydrogel with silicone lenses. When comparing sharp with rounded-edge designs, pooled risk differences of capsulotomy rates were −47% (95% CI, −77% to −17%) in PMMA lenses, −22% (95% CI, −47% to 2%) in acrylic lenses, and −9% (95% CI, −17% to 0%) in silicone lenses; pooled risk differences of PCO rates were −28% (95% CI, −50% to −7%) in acrylic lenses and −37% (95% CI, −46% to −27%) in silicone lenses. Conclusions The rates of PCO and Nd:YAG laser capsulotomy may be influenced by different IOL biomaterials and optic edge designs. The lenses made by acrylic and silicone and those with sharp optic edges are superior in lowering the rates of PCO and laser capsulotomy.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>17224119</pmid><doi>10.1016/j.ajo.2006.11.045</doi><tpages>9</tpages></addata></record> |
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| subjects | Acrylic Resins Biocompatible Materials Biological and medical sciences Biomedical materials Cataract - prevention & control Cataracts Clinical trials Confidence intervals Drug therapy Eye surgery Humans Hydrogels Laser Therapy - statistics & numerical data Lens Capsule, Crystalline - pathology Lens Capsule, Crystalline - surgery Lens Implantation, Intraocular Lenses, Intraocular Medical sciences Meta-analysis Miscellaneous Ophthalmology Optics Phacoemulsification Polymethyl Methacrylate Postoperative Complications - prevention & control Prosthesis Design Quality Randomized Controlled Trials as Topic Risk Factors Silicone Elastomers Statistical methods Studies Surgery |
| title | Efficacy of Different Intraocular Lens Materials and Optic Edge Designs in Preventing Posterior Capsular Opacification: A Meta-Analysis |
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