OCT-study of the anterior lens capsule after cataract surgery accompanied by pseudoexfoliation syndrome

The Purpose of the study is to evaluate the condition of the anterior capsule (AC) in patients with pseudoexfoliation syndrome (PEX) after implantation of intraocular lenses (IOL) of different designs. Material and Methods. Optical coherence tomography of the anterior segment was conducted in 58 patients (70 eyes) with PEX after phacoemulsification with implantation of various acrylic lOLs: planar (52 cases) and step-vaulted (18 cases). Results. Over the long-term period we revealed differences in the relationship of AC and IOL. in most cases of planar IOL implantation, the AC after polishing adjoined the IOL surface without changing its morphology. The epithelial metaplasia was noted after implantation of planar lOLs without peeling of AC. The free edge of the AC with unchanged epithelium was observed in all cases of implantation of step-vaulted lOLs. Conclusion. Polishing the anterior capsule after implantation of planar lOLs allows avoiding significant manifestations of contraction capsular syndrome. Implantation of step-vaulted lOLs excludes contact of the anterior capsule with the IOL surface; no manifestations of epithelial metaplasia were observed.