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Incidence of glistenings with the latest generation of yellow-tinted hydrophobic acrylic intraocular lenses

Poster Details

First Author: L.Tellouck FRANCE

Co Author(s):    I. Orignac   D. Praud   C. Schweitzer        

Abstract Details



Purpose:

To evaluate the incidence of glistenings in a large series of consecutive eyes with a blue light–filtering hydrophobic acrylic intraocular lens (IOL) and the relationship with parameters such as age, sex, follow-up length, and corrected distance visual acuity (CDVA)

Setting:

Ophtalmology Department, University Hospital of Bordeaux

Methods:

This retrospective study included 111 eyes of 74 patients (age range 33 to 86 years). The inclusion criteria were patients with cataract causing a significat reduction in visual quality that had implantation of an Acrysif SN60WF monofocal IOL. The exclusion criteria were active ocular disease at the time of IOL implantation and eyes that had cataract surgery with implantation of another IOL model. All cases had cataract surgery with Acrysof SN60WF monofocal IOL implantation and had a routine postoperative examination by the surgeon between March 2011 and June 2011. The incidence and severity of glistenings were evaluated with the slitlamp. Also evaluated was their relationship with age, sex, follow-up length, IOL power, and CDVA. Glistenings were subjectively graded (0 Z absent; 1 Z moderate; 2 Z dense). The statistical analyses was performed using SPSS for Windows software (version 15.0, SPSS, Inc.)

Results:

Glistenings occurred in 96 eyes (86.5%). Glistenings were of grade 1 severity in 45 eyes (40.5%) and of grade 2 severity in 51 eyes (45.9%). The follow-up was significantly longer in eyes with grade 2 glistenings (P%.01). No significant differences in the length of follw-up were found between eyes with grade 0 glistenings and eyes with grade 1 glistenings (P=0,21). A limited, but significant, correlation was found between glistening severity and length of follow-up (r Z 0.32, P<.01). Although there was a trend toward decreased visual acuities at higher glistening grades (r Z 0.22, PZ.01), there were no significant differences in CDVA between the glistening severity groups (PZ.14)

Conclusions:

Glistenings were common in eyes with the blue light–filtering hydrophobic acrylic IOL and increased over time

Financial Disclosure:

NONE

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