60 R

Whole capsular bag healing after IOL implantation

Sourdille P
Nantes

Purpose: To investigate the possibility of keeping both an-
terior and posterior lens capsules transparent after IOL implanta-
tion. Methods: A new IOL, 360 SE (Cornéal, France) combining the
features of a capsular tension ring and of an IOL was implanted in
45 consecutive eyes between may 2000 and september 2000. In
addition to the usual optical measurements, and assessment of
posterior capsule transparence, we looked for stability of the IOL
as measured by the Eye Analyser System (Nidek) contact of an-
terior and posterior capsule to the optic of the IOL, anterior
capsule transparence, capsular folds, and accumulation of newly
formed lens material between the equator of the capsular bag and
the equator of the optic. Outcomes: Posterior capsule remained
transparent during the whole followup period, without any yag
capsulotomy. The lens achieved definite stability at 1 week and
remained so.No capsular fold nor capsulophimosis was noted in
any of the eyes. No contact of the anterior capsule with the optic
was noted in 85 % of cases, and the anterior capsule remained
transparent in these cases. No accumulation of newly formed lens
material could be seen at the periphery of the capsular bag, and
the retinal periphery was clearly visible in 95 % of cases. Conclu-
sion: A multicenter study is on its way to confirm these results.
As for today the whole capsular bag, and not only the central
posterior capsule, seems to stay transparent after implantation
in a vast majority of cases.



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