Polymethylmethacrylate

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Jongun Lee - One of the best experts on this subject based on the ideXlab platform.

Sang Jung - One of the best experts on this subject based on the ideXlab platform.

James F Boyce - One of the best experts on this subject based on the ideXlab platform.

  • posterior capsular opacification with hydrogel Polymethylmethacrylate and silicone intraocular lenses two year results of a randomized prospective trial
    American Journal of Ophthalmology, 2002
    Co-Authors: Emma J Hollick, David J Spalton, Will R Meacock, Paul G Ursell, Sarah Barman, James F Boyce
    Abstract:

    Abstract PURPOSE: To compare the visual outcome, percentage of posterior capsular opacification, and laser capsulotomy rates with Polymethylmethacrylate, silicone, and hydrogel intraocular lens implants at 1 and 2 years postoperatively. METHODS: Ninety-three eyes of 93 patients were randomized to receive a Polymethylmethacrylate, silicone, or hydrogel intraocular lens implant. A standardized surgical protocol was followed by a single surgeon using phacoemulsification with capsulorhexis; any patients with surgical complications were excluded, and all patients received standardized medication and follow-up. Patients were examined at days 1 and 7, months 1, 3, and 6, and years 1 and 2 after surgery. At each assessment, best-corrected logMAR visual acuity and Pelli-Robson contrast sensitivity were measured. Posterior capsular opacification was objectively assessed by digital retroillumination imaging with the use of a dedicated software program and calculated as the percentage area of opacified capsule. Laser capsulotomy was performed if the eye had lost 2 lines of visual acuity with a clinically opaque capsule. RESULTS: At 2 years postoperatively, the mean percentage area of posterior capsular opacification for hydrogel lenses was 63%; for Polymethylmethacrylate, 46%; and for silicone, 17%. Hydrogel intraocular lenses were associated with 17% more posterior capsule opacification than were Polymethylmethacrylate lenses (95% confidence interval, 1–33; P = .037) and 45% more than were silicone lenses (95% confidence interval, 33–58; P P P = .014). Visual acuity was not significantly different among the three groups, but patients with silicone intraocular lenses had significantly better contrast sensitivity than those with hydrogel lenses ( P = .046). CONCLUSIONS: Intraocular lenses made of this specific hydrogel were associated with a significantly higher degree of posterior capsular opacification and more laser capsulotomies than Polymethylmethacrylate and silicone intraocular lenses.

Kyung Yeon Yoo - One of the best experts on this subject based on the ideXlab platform.

Thomas Standl - One of the best experts on this subject based on the ideXlab platform.