{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T13:45:02Z","timestamp":1785246302949,"version":"3.55.0"},"reference-count":18,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,6,13]],"date-time":"2019-06-13T00:00:00Z","timestamp":1560384000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To evaluate the posterior capsule opacification (<jats:styled-content style=\"fixed-case\">PCO<\/jats:styled-content>) and <jats:styled-content style=\"fixed-case\">YAG<\/jats:styled-content> laser capsulotomy (<jats:styled-content style=\"fixed-case\">YAG<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">LCT<\/jats:styled-content>) rates with a plate\u2010haptic acrylic micro\u2010incision intraocular lens (<jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>) and the impact of primary posterior capsulorhexis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 97 patients scheduled for immediate sequential bilateral cataract surgery underwent a randomized, prospective intraindividual comparison with the <jats:styled-content style=\"fixed-case\">ZEISS<\/jats:styled-content> Asphina 409<jats:styled-content style=\"fixed-case\">MV<\/jats:styled-content> plate\u2010haptic acrylic <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> with the eyes receiving an additional primary posterior capsulorhexis (<jats:styled-content style=\"fixed-case\">PPCR<\/jats:styled-content>) or not. <jats:styled-content style=\"fixed-case\">YAG<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">LCT<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PCO<\/jats:styled-content> rates were evaluated at 1 and 3\u00a0years. Three\u2010year <jats:styled-content style=\"fixed-case\">PCO<\/jats:styled-content> rates were calculated with a 3\u2010scenario method for eyes that underwent <jats:styled-content style=\"fixed-case\">YAG<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">LCT<\/jats:styled-content> between 1 and 3\u00a0years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 56 patients were seen at 1\u00a0year, and 57 at 3\u00a0years. For the eyes without and with <jats:styled-content style=\"fixed-case\">PPCR<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> YAG<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">LCT<\/jats:styled-content> rates were 14.3% and 0% at 1\u00a0year, and 59.7% and 3.5% at 3\u00a0years, respectively. Opacification rates at 1\u00a0year were 0.55\u00a0\u00b1\u00a00.99 and 0.05\u00a0\u00b1\u00a00.21 for the central 2\u2010mm optic zone. A total of 42 patients completed both the 1\u2010 and 3\u2010year follow\u2010up. Three\u2010year opacification rates for the group without <jats:styled-content style=\"fixed-case\">PPCR<\/jats:styled-content> were 1.99\u00a0\u00b1\u00a02.20, 2.26\u00a0\u00b1\u00a02.66 and 3.66\u00a0\u00b1\u00a03.61 for the central 2\u2010mm zone and 2.57\u00a0\u00b1\u00a02.07, 3.13\u00a0\u00b1\u00a03.03 and 4.09\u00a0\u00b1\u00a03.34 for the 4.5\u2010mm zone for the best, extrapolated and worst\u2010case scenarios, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">ZEISS<\/jats:styled-content> Asphina 409<jats:styled-content style=\"fixed-case\">MV<\/jats:styled-content> plate\u2010haptic acrylic <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> exhibited unusually high <jats:styled-content style=\"fixed-case\">YAG<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">LCT<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PCO<\/jats:styled-content> rates with standard in\u2010the\u2010bag implantation. <jats:styled-content style=\"fixed-case\">PPCR<\/jats:styled-content> was safe and effective in preventing central opacification and the need for <jats:styled-content style=\"fixed-case\">YAG<\/jats:styled-content> laser treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.14156","type":"journal-article","created":{"date-parts":[[2019,6,14]],"date-time":"2019-06-14T05:53:40Z","timestamp":1560491620000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Impact of primary posterior capsulorhexis on regeneratory after\u2010cataract and <scp>YAG<\/scp> laser rates with an acrylic micro\u2010incision intraocular lens with plate haptics: 1\u2010year and 3\u2010year 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