Evaluation of anterior capsular contraction syndrome after cataract surgery with commonly used intraocular lenses

Figures & data

Table 1 Eyes with ACCS risk factors

Risk factors	ACCS (−)		ACCS (+)
	SN60WF	ZCB00	SN60WF	ZCB00
PXE syndrome	5	16	0	0
Uveitis	1	4	1	0
Retinitis pigmentosa	0	0	0	0
History of retinal surgery	1	6	0	1a
Diabetic retinopathy	28	68	1	1a
Totalb	35	94c	2	2

Notes: (−), absence of ACCS. (+), presence of ACCS.

a Single eye with two risk factors.

b Number of patients with at least one risk factor: 37/571 (SN60WF) and 74/476 (ZCB00).

c In all, 17 eyes had two risk factors and two eyes had three risk factors.

Abbreviations: ACCS, anterior capsular contraction syndrome; PXE, pseudoexfoliation.

Table 2 Patient demographics and ACCS incidence

Study parameters	Lens
	SN60WF	ZCB00
Eyes (n)	571	476
Average age (years), mean±SD	74.2±9.4	71.3±11.4
Male (n)	205	203
Female (n)	366	272
Average follow-up (months), median statistic	4.2 (1–33.6)	5.7 (1–33.1)
ACCS cases (n)	8	1
ACCS incidence (%)	1.40	0.21

Abbreviation: ACCS, anterior capsular contraction syndrome.

Table 3 Lens specifications

Characteristic	AcrySof SN60WF^Citation25 (Alcon Laboratories, Inc.)	Tecnis ZCB00^Citation26 (Abbott Medical Optics Inc)
Overall length (mm)	13	13
Material	1-piece hydrophobic acrylic	1-piece hydrophobic acrylic
Optic
Diameter (mm)	6	6
Design	Biconvex	Biconvex
Edge	Square, interrupted	360° square edge
Haptics
Design	Modified C	Modified C
Position with respect to optic	In-line	Offset, 3-point fixation
aMean compression force^Citation21 (mg)	29	36.5

Note:

a Force applied by haptics to the capsular bag.

AcrySof SN60WF [package insert]Fort Worth, TXAlcon Surgical Inc2010

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Tecnis ZCB00 [package insert]Santa Ana, CAAbbott Medical Optics Inc2007

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BozukovaDPagnoulleCJérômeCBiomechanical and optical properties of 2 new hydrophobic platforms for intraocular lensesJ Cataract Refract Surg20133991404141423827766

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