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  • Dynamic Changes of Capsular...
    Zhao, Yinying; Zhang, Zhewen; Yang, Fuman; Chang, Pingjun; Wang, Dandan; Huang, Feng; Zhao, Yune

    Ophthalmology and therapy, 06/2024, Letnik: 13, Številka: 6
    Journal Article

    Introduction The aim of this work is to investigate the dynamic changes of capsular-intraocular lens (IOL) adhesion in plate-haptic hydrophilic and loop-haptic hydrophobic eyes. Methods Cataract eyes that met the inclusion criteria were randomly assigned to receive implantation of a plate-haptic hydrophilic or loop-haptic IOL. The anterior capsular adhesion, posterior capsular adhesion, and the configurations of the capsular bend were evaluated using swept-source optical coherence tomography at 1 day, 1 week, 1 month, and 3 months postoperatively. Results In total, 66 eyes of 66 patients were eligible for the analysis: 33 in the plate-haptic group and 33 in the loop-haptic group. The contact between the anterior capsule and IOL in the plate-haptic group was earlier than that in the loop-haptic group upon comparing the measurements taken at 1 day and 1 week ( p  = 0.001, p  = 0.003, respectively). The complete attachment of the posterior capsule and IOL in the plate-haptic group was significantly greater at 1 week, 1 month, and 3 months ( p  = 0.001, p  = 0.000, p  = 0.001, respectively). The capsular bend index of the plate-haptic group was significantly greater than that of the loop-haptic group at each time points except at 1 day ( p  = 0.007, p  = 0.049, p  = 0.005, respectively). Furthermore, a new type of capsular bend, “cocked adhesion,” was observed in the plate-haptic eyes. Conclusions The plate-haptic IOL demonstrated excellent capsular adhesion compared to the loop-haptic IOL, which was probably attributed to haptic compressibility. A special cocked configuration of the capsular bend in plate-haptic IOL was observed for the first time. Further studies are warranted to confirm the effect of the new type of capsular bend.