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A new endocapsular open ring for prevention of anterior and posterior capsule opacification

Authors Pallikaris IG, Stojanovic NR, Ginis HS

Received 19 February 2016

Accepted for publication 19 July 2016

Published 3 November 2016 Volume 2016:10 Pages 2205—2212

DOI https://doi.org/10.2147/OPTH.S106770

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Gokcen Gökçe

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Ioannis G Pallikaris, Nela R Stojanovic, Harilaos S Ginis

Institute of Vision and Optics, Department of Medicine, University of Crete, Heraklion, Crete, Greece

Purpose:
The aim of this study is to demonstrate the functionality of a new design of a thick endocapsular open ring for prevention of anterior capsule opacification (ACO) and posterior capsule opacification (PCO).
Setting: The Institute of Vision and Optics, University of Crete and University Hospital of Heraklion, Crete, Greece.
Design: Prospective, interventional pilot study.
Methods: Fifteen patients (17 eyes) underwent cataract surgery with phacoemulsification. During surgery, a thick endocapsular open ring (peripheral capsule reconstructor) was inserted into the capsular bag, prior to intraocular lens (IOL) implantation. Six different models of IOL were implanted. Postoperatively, the degree of ACO and PCO was evaluated and described as none, mild, moderate, or severe.
Results: The mean follow-up period was 30±8.06 months (range: 12–36 months). At the last follow-up, mild PCO was observed in only three eyes and mild ACO in three patients. The centration of IOLs was good in all but one eye, which had a tilted IOL.
Conclusion: The results of this pilot study suggest that the implantation of a new design of thick endocapsular open ring is feasible and may contribute to the prevention of PCO and ACO after cataract surgery.

Keywords: intraocular implant, cataract, phacoemulsification, silicone

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