Incidence and associated factors of posterior capsule opacification in pseudophakic patients at Cipto Mangunkusumo Hospital

<p><strong>Background:</strong> Posterior capsule opacification (PCO) is the most common postoperative consequence of cataract surgery which may cause visual acuity reduction, yet the incidence in Indonesia has not been reported. The objectives of this study were to evaluate three...

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Main Authors: Sita P. Ayuningtyas, Tjahjono D. Gondhowiardjo
Format: Article
Language:English
Published: Faculty of Medicine Universitas Indonesia 2015-11-01
Series:Medical Journal of Indonesia
Subjects:
Online Access:http://mji.ui.ac.id/journal/index.php/mji/article/view/1199
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spelling doaj-911ea3921e264489adb699575fc5332d2020-11-25T01:40:26ZengFaculty of Medicine Universitas Indonesia Medical Journal of Indonesia0853-17732252-80832015-11-012431768210.13181/mji.v24i3.11991095Incidence and associated factors of posterior capsule opacification in pseudophakic patients at Cipto Mangunkusumo HospitalSita P. Ayuningtyas0Tjahjono D. Gondhowiardjo1Department of Ophthalmology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, JakartaDepartment of Ophthalmology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta<p><strong>Background:</strong> Posterior capsule opacification (PCO) is the most common postoperative consequence of cataract surgery which may cause visual acuity reduction, yet the incidence in Indonesia has not been reported. The objectives of this study were to evaluate three years cumulative incidence of PCO and factors associated with PCO formation at Cipto Mangunkusumo Hospital, Jakarta.</p><p><strong>Methods:</strong> This was a retrospective descriptive study on patients with uneventful senile cataract surgery during year 2010. All related data were retrieved from medical records in year 2013, which included patient demographics, type of surgery, intraocular lens (IOL) characteristics (material, optic edge design and diameter). Moreover, time to first PCO diagnosis (month), and best corrected visual acuity (BCVA) pre-operatively, at time PCO was diagnosed and two weeks after Neodymium-doped yttrium aluminum garnet (Nd:YAG) laser were noted (decimal).</p><p><strong>Results:</strong> A total of 578 eyes (485 patients) were involved in this study. Three years cumulative incidence of the PCO was 8.82% (51 eyes). Phacoemulsification surgery was performed in 496 (85.8%) eyes. The median time to PCO diagnosis was 21 months (range 1 to 34 months), mean of BCVA was 0.50 ± 0.26. Age (&lt;65 and &gt;65 years old) was not associated to PCO. Higher incidence of PCO was found in patients using hydrophilic acrylic IOL (10.7%) than in hydrophobic acrylic (6.2%). After Nd:YAG laser was performed, BCVA was improved to 1.00.</p><p><strong>Conclusion:</strong> Three years cumulative incidence of PCO was 8.82% and there was no defined factor related to PCO formation, but higher percentage of PCO occured in patients using hydrophilic acrylic IOL than in hydrophobic acrylic.</p><p> </p>http://mji.ui.ac.id/journal/index.php/mji/article/view/1199incidenceintraocular lensposterior capsule opacification
collection DOAJ
language English
format Article
sources DOAJ
author Sita P. Ayuningtyas
Tjahjono D. Gondhowiardjo
spellingShingle Sita P. Ayuningtyas
Tjahjono D. Gondhowiardjo
Incidence and associated factors of posterior capsule opacification in pseudophakic patients at Cipto Mangunkusumo Hospital
Medical Journal of Indonesia
incidence
intraocular lens
posterior capsule opacification
author_facet Sita P. Ayuningtyas
Tjahjono D. Gondhowiardjo
author_sort Sita P. Ayuningtyas
title Incidence and associated factors of posterior capsule opacification in pseudophakic patients at Cipto Mangunkusumo Hospital
title_short Incidence and associated factors of posterior capsule opacification in pseudophakic patients at Cipto Mangunkusumo Hospital
title_full Incidence and associated factors of posterior capsule opacification in pseudophakic patients at Cipto Mangunkusumo Hospital
title_fullStr Incidence and associated factors of posterior capsule opacification in pseudophakic patients at Cipto Mangunkusumo Hospital
title_full_unstemmed Incidence and associated factors of posterior capsule opacification in pseudophakic patients at Cipto Mangunkusumo Hospital
title_sort incidence and associated factors of posterior capsule opacification in pseudophakic patients at cipto mangunkusumo hospital
publisher Faculty of Medicine Universitas Indonesia
series Medical Journal of Indonesia
issn 0853-1773
2252-8083
publishDate 2015-11-01
description <p><strong>Background:</strong> Posterior capsule opacification (PCO) is the most common postoperative consequence of cataract surgery which may cause visual acuity reduction, yet the incidence in Indonesia has not been reported. The objectives of this study were to evaluate three years cumulative incidence of PCO and factors associated with PCO formation at Cipto Mangunkusumo Hospital, Jakarta.</p><p><strong>Methods:</strong> This was a retrospective descriptive study on patients with uneventful senile cataract surgery during year 2010. All related data were retrieved from medical records in year 2013, which included patient demographics, type of surgery, intraocular lens (IOL) characteristics (material, optic edge design and diameter). Moreover, time to first PCO diagnosis (month), and best corrected visual acuity (BCVA) pre-operatively, at time PCO was diagnosed and two weeks after Neodymium-doped yttrium aluminum garnet (Nd:YAG) laser were noted (decimal).</p><p><strong>Results:</strong> A total of 578 eyes (485 patients) were involved in this study. Three years cumulative incidence of the PCO was 8.82% (51 eyes). Phacoemulsification surgery was performed in 496 (85.8%) eyes. The median time to PCO diagnosis was 21 months (range 1 to 34 months), mean of BCVA was 0.50 ± 0.26. Age (&lt;65 and &gt;65 years old) was not associated to PCO. Higher incidence of PCO was found in patients using hydrophilic acrylic IOL (10.7%) than in hydrophobic acrylic (6.2%). After Nd:YAG laser was performed, BCVA was improved to 1.00.</p><p><strong>Conclusion:</strong> Three years cumulative incidence of PCO was 8.82% and there was no defined factor related to PCO formation, but higher percentage of PCO occured in patients using hydrophilic acrylic IOL than in hydrophobic acrylic.</p><p> </p>
topic incidence
intraocular lens
posterior capsule opacification
url http://mji.ui.ac.id/journal/index.php/mji/article/view/1199
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