Risk Factors for Development of Posterior Capsule Opacification after Cataract Surgery or Combined Vitreoretinal Surgery.

Kim, Nam Eok; Lee, Soo Jung; Park, Jung Min

doi:2014.55.8.1132

J Korean Ophthalmol Soc > Volume 55(8); 2014 > Article

Original Article

Journal of the Korean Ophthalmological Society 2014;55(8):1132-1138.
DOI: https://doi.org/10.3341/jkos.2014.55.8.1132 Published online August 15, 2014.

Risk Factors for Development of Posterior Capsule Opacification after Cataract Surgery or Combined Vitreoretinal Surgery.

Nam Eok Kim, Soo Jung Lee, Jung Min Park

¹Department of Ophthalmology, Maryknoll Medical Center, Busan, Korea. Pjm1438@hanmail.net
²Department of Ophthalmology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

백내장수술 또는 유리체절제술과 백내장병합수술 후 수정체 후낭혼탁 발생의 위험인자

김남억¹⋅이수정²⋅박정민¹

Department of Ophthalmology, Maryknoll Medical Center¹, Busan, Korea
Department of Ophthalmology, Haeundae Paik Hospital, Inje University College of Medicine², Busan, Korea

Abstract

PURPOSE
To evaluate the risk factors for the development of posterior capsule opacification (PCO) after cataract surgery or combined cataract and vitreoretinal surgery. METHODS: In the present study all surgical procedures were performed by the same surgeon. We retrospectively reviewed 272 consecutive eyes that received cataract surgery or combined cataract and vitreoretinal surgery. The risk factors including gender, age, diabetes, continuous curvilinear capsulorhexis (CCC) size, intraocular lens shape, intraoperative intravitreal bevacizumab, gas, and silicone oil injections were evaluated using multiple logistic regression analysis. RESULTS: PCO developed in 55 (20.2%) out of 272 eyes. The mean age was 63.3 +/- 12.1 years (range 23-85 years) and mean follow-up period was 17.3 +/- 3 months. A correlation existed between the development of the PCO and age (p < 0.05), CCC size (p = 0.009), vitreoretinal surgery (p = 0.014), intraoperative intravitreal gas (p = 0.009) and silicone oil injections (p = 0.005). However, no statistical correlation with gender, diabetes, intraocular lens shape, or intraoperative intravitreal bevacizumab injection was observed (p > 0.05). CONCLUSIONS: The risk factors associated with PCO included young age, large CCC size, combined cataract and vitreoretinal surgery, intraoperative intravitreal gas and silicone oil injections.

Key Words: Cataract surgery;Posterior capsule opacification;Risk factor;Vitreoretinal surgery