Incidence of nd:Yag capsulotomy after lens implantation of an Acrylic IOL in one eye and a Silicone IOL in the other eye of the same patient: a preliminary study.

We retrospectively reviewed the charts of 40 patients who underwent an uneventful phacoemulsification in both eyes and had an Acrylic IOL (AcrySof) implanted in one eye and a Silicone IOL (SI 30/S 140) in the other. A subset of 18 patients had a mean follow up of 1 1/2 year. In the Acrylic group 1 patient (5.5%) underwent a posterior Yag-capsulotomy. In the Silicone group 6 patients (30%) underwent a Yag-capsulotomy. (2 anterior--4 posterior) (p = 0.04) Acrylic IOL's were associated with a significantly reduced incidence rate of Yag-capsulotomy compared with silicone IOL's after 1 1/2 years.