Posterior capsule opacification and capsulotomy rates with taco-style hydrogel intraocular lenses

To evaluate posterior capsule opacification (PCO) formation and neodymium: YAG (Nd:YAG) laser capsulotomy results in eyes with an logel intraocular lens (IOL).

First University Hospital, Vienna, Austria.

A retrospective study was done of 108 eyes with one of three types of an logel IOL that had decreased vision from PCO and required posterior capsule discission.

In general, in eyes with sulcus-placed IOLs, a Soemmering's ring formed and the capsulorhexis rim tightly adhered to the posterior capsule, sealing the capsular bag periphery. Elschnig pearls had broken the barrier, invading the retrolental space. In eyes with bag-placed IOLs, there was a gap between the IOL and posterior capsule in which Elschnig pearls had accumulated. This gap frequently extended beneath the flanges to the periphery of the capsular bag, allowing residual lens epithelial cells to proliferate and migrate centrally.

The logel lenses led to a high incidence of regeneratory PCO within the gap between the lens and capsule that might be the result of the properties of the lens' hydrogel material rather than its design.