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Göteborgs universitets publikationer

Economic considerations related to choice of intraocular lens (IOL) and posterior capsule opacification frequency - a comparison of three different IOLs

Författare och institution:
F. Cullin (-); Tobias Busch (Institutionen för medicin); M. Lundstrom (-)
Publicerad i:
Acta Ophthalmologica, 92 ( 2 ) s. 179-183
Artikel, refereegranskad vetenskaplig
Sammanfattning (abstract):
Abstract. Purpose: To evaluate the posterior capsule opacification (PCO) rates in three different modern standard intraocular lenses (IOL) and analyse the related cost. Methods: Retrospective study of medical records from 1527 patients who underwent uneventful cataract surgery by phacoemulsification with posterior chamber implantation of either AcrySof SN60 (n = 375), Akreos Adapt (n = 350) or Tecnis Acryl IOL (n = 801). All surgeries were performed by the same surgeon using the same surgical technique and equipment. Primary end-point was neodymium:yttrium-aluminium-garnet (Nd:YAG) capsulotomy for visual impairment secondary to PCO. Cost of IOL material and Nd:YAG capsulotomy for PCO was then evaluated and compared between the IOLs. Results: Mean follow-up was 41.5 months, and the only statistically significant variable of developing PCO was IOL type and individual follow-up time. Nd:YAG capsulotomy was performed in 7.47% in the AcrySof group, 17.71% in the Akreos group and 3.75% in the Tecnis group. Average cost for Nd:YAG capsulotomy per surgery was euro18.75 in the AcrySof SN60 group, euro44.25 in the Akreos Adapt group and euro9.25 in the Tecnis Acryl group. The combined cost of cataract surgery and PCO treatment was euro9.81 higher in for the Akreos Adapt group than the other two combined. Conclusions: This retrospective study shows that the risk of PCO and Nd:YAG capsulotomy is significantly higher in hydrophilic Akreos IOL compared with both AcrySof and Tecnis hydrophobic IOLs. The increased risk of PCO in the hydrophilic IOL is related to higher total average costs for cataract surgery.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Klinisk medicin ->
posterior capsule opacification, Cataract, neodymium:yttrium-aluminium-garnet capsulotomy, single
Postens nummer:
Posten skapad:
2014-05-07 17:48

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