Retrospective Analyses of Potential Risk Factors for Posterior Capsule Opacification after Cataract Surgery

Purpose. To evaluate the potential risk factors of posterior capsule opacification (PCO) after cataract surgery. Methods. Data on PCO patients diagnosed from September 2015 to May 2017 were obtained from the Department of Ophthalmology at Qingdao Municipal Hospital, Qingdao, China. The factors assoc...

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Main Authors: Shuang Wu, Nianting Tong, Lin Pan, Xiaohui Jiang, Yanan Li, MeiLing Guo, Hehuan Li
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2018/9089285
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author Shuang Wu
Nianting Tong
Lin Pan
Xiaohui Jiang
Yanan Li
MeiLing Guo
Hehuan Li
author_facet Shuang Wu
Nianting Tong
Lin Pan
Xiaohui Jiang
Yanan Li
MeiLing Guo
Hehuan Li
author_sort Shuang Wu
collection DOAJ
description Purpose. To evaluate the potential risk factors of posterior capsule opacification (PCO) after cataract surgery. Methods. Data on PCO patients diagnosed from September 2015 to May 2017 were obtained from the Department of Ophthalmology at Qingdao Municipal Hospital, Qingdao, China. The factors associated with PCO were assessed using Pearson's χ2 test for univariate analyses and logistic regression for multivariate analyses. Results. Eyes (652) from 550 patients were enrolled in this study. All patients were diagnosed with PCO/non-PCO and had <3 years of follow-up after surgery. The numbers of PCO and non-PCO were 108 eyes and 544 eyes, respectively. Statistically significant associations with PCO were found for age at the time of surgery (χ2 = 78.504; p<0.001), diabetes (χ2 = 4.829; p=0.028), immune diseases (χ2 = 4.234; p=0.004), high myopia (χ2 = 5.753; p=0.016), lens nucleus hardness (χ2 = 11.046; p=0.026), surgery type (χ2 = 11.354; p=0.001), a history of vitrectomy (χ2 = 4.212; p=0.004), ocular inflammation (χ2 = 6.01; p=0.009), and the intraocular lens (IOL) type (χ2 = 8.696; p=0.003). Multivariable data analyses using logistic regression analyses of the variables showed that age at the time of surgery <60 years, diabetes, lens nucleus hardness of III–V, extracapsular cataract extraction (ECCE), postvitrectomy, and hydrophilic IOLs were significant independent risk factors associated with PCO. Conclusions. Age <60 years, diabetes, lens nucleus hardness of III–V, ECCE, postvitrectomy, and a hydrophilic IOL were significantly associated with the formation of PCO. Estimation of the incidence of and risk factors for PCO should help in patients counseling and in the design of treatment protocols to reduce or prevent its development.
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spelling doaj-art-6cfadaec4712489da2566b282b08bb712025-02-03T05:48:23ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/90892859089285Retrospective Analyses of Potential Risk Factors for Posterior Capsule Opacification after Cataract SurgeryShuang Wu0Nianting Tong1Lin Pan2Xiaohui Jiang3Yanan Li4MeiLing Guo5Hehuan Li6Qingdao Municipal Hospital Affiliated to Qingdao University, No. 5 Donghaizhong Road, Shinan District, Qingdao, Shandong, ChinaDepartment of Ophthalmology, Qingdao Municipal Hospital, No. 5 Donghaizhong Road, Shinan District, Qingdao, Shandong, ChinaDalian Medical University, No. 9 Lushunnan Road, Dalian, Liaoning, ChinaDepartment of Ophthalmology, Qingdao Municipal Hospital, No. 5 Donghaizhong Road, Shinan District, Qingdao, Shandong, ChinaQingdao Municipal Hospital Affiliated to Qingdao University, No. 5 Donghaizhong Road, Shinan District, Qingdao, Shandong, ChinaQingdao Municipal Hospital Affiliated to Qingdao University, No. 5 Donghaizhong Road, Shinan District, Qingdao, Shandong, ChinaQingdao Municipal Hospital Affiliated to Qingdao University, No. 5 Donghaizhong Road, Shinan District, Qingdao, Shandong, ChinaPurpose. To evaluate the potential risk factors of posterior capsule opacification (PCO) after cataract surgery. Methods. Data on PCO patients diagnosed from September 2015 to May 2017 were obtained from the Department of Ophthalmology at Qingdao Municipal Hospital, Qingdao, China. The factors associated with PCO were assessed using Pearson's χ2 test for univariate analyses and logistic regression for multivariate analyses. Results. Eyes (652) from 550 patients were enrolled in this study. All patients were diagnosed with PCO/non-PCO and had <3 years of follow-up after surgery. The numbers of PCO and non-PCO were 108 eyes and 544 eyes, respectively. Statistically significant associations with PCO were found for age at the time of surgery (χ2 = 78.504; p<0.001), diabetes (χ2 = 4.829; p=0.028), immune diseases (χ2 = 4.234; p=0.004), high myopia (χ2 = 5.753; p=0.016), lens nucleus hardness (χ2 = 11.046; p=0.026), surgery type (χ2 = 11.354; p=0.001), a history of vitrectomy (χ2 = 4.212; p=0.004), ocular inflammation (χ2 = 6.01; p=0.009), and the intraocular lens (IOL) type (χ2 = 8.696; p=0.003). Multivariable data analyses using logistic regression analyses of the variables showed that age at the time of surgery <60 years, diabetes, lens nucleus hardness of III–V, extracapsular cataract extraction (ECCE), postvitrectomy, and hydrophilic IOLs were significant independent risk factors associated with PCO. Conclusions. Age <60 years, diabetes, lens nucleus hardness of III–V, ECCE, postvitrectomy, and a hydrophilic IOL were significantly associated with the formation of PCO. Estimation of the incidence of and risk factors for PCO should help in patients counseling and in the design of treatment protocols to reduce or prevent its development.http://dx.doi.org/10.1155/2018/9089285
spellingShingle Shuang Wu
Nianting Tong
Lin Pan
Xiaohui Jiang
Yanan Li
MeiLing Guo
Hehuan Li
Retrospective Analyses of Potential Risk Factors for Posterior Capsule Opacification after Cataract Surgery
Journal of Ophthalmology
title Retrospective Analyses of Potential Risk Factors for Posterior Capsule Opacification after Cataract Surgery
title_full Retrospective Analyses of Potential Risk Factors for Posterior Capsule Opacification after Cataract Surgery
title_fullStr Retrospective Analyses of Potential Risk Factors for Posterior Capsule Opacification after Cataract Surgery
title_full_unstemmed Retrospective Analyses of Potential Risk Factors for Posterior Capsule Opacification after Cataract Surgery
title_short Retrospective Analyses of Potential Risk Factors for Posterior Capsule Opacification after Cataract Surgery
title_sort retrospective analyses of potential risk factors for posterior capsule opacification after cataract surgery
url http://dx.doi.org/10.1155/2018/9089285
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