Aydin Yildiz, Arzu Taskiran Comez


Purpose: To evaluate the incidence of posterior capsular opacification after cataract surgery in patients on hemodialysis. Patients and Methods: Fifty patients on hemodialysis undergoing cataract surgery and 50 patients undergoing cataract surgery in a similar age group without any systemic disease were compared retrospectively. All patients underwent uneventful phacoemulsification surgery. Hydrophilic monoblock, sharp-edged acrylic intraocular lens (Spectrafold™, Gujarat, India) was used. A complete ophthalmological examination was performed on the patients who were evaluated at the postoperative 12th month follow-up examination. Posterior capsular opacification was evaluated by the retroillumination method. According to the reflection from retroillumination, cases with posterior capsular opacification were divided into three groups as mild, moderate and severe.

Results: Age groups and male to female ratios were similar. Mean best corrected visual acuity (BCVA) was 0.23 in the hemodialysis group and 0.22 in the control group, preoperatively. At the end of the first year, the mean BCVA was 0.88 in the hemodialysis group and 0.94 in the control group. In the hemodialysis group, the percentage of posterior capsular opacification was 60% and was 14% in the control group; this difference was statistically significant (p <0.05). While the capsular opacity was mild in all 7 patients in the control group, itwas mild in 19 patients, moderate in 8 and severe in 3 patients in the hemodialysis group. Conclusion: The incidence of posterior capsular opacification after uneventful cataract surgery is found to be higher in patients on hemodialysis than in the normal population.


Hemodialysis, cataract, phacoemulsification, posterior capsule, opacity

Full Text:



Wilhelmus KR, Emery JM. Posterior capsule opacification following phacoemulsification. Ophthalmic Surg. 1980;11(4):264-7.

Wu S, Tong N, Pan L, Jiang X, Li Y, Guo M, et al.. Retrospective analyses of potential risk factors for posterior capsule opacification after cataract surgery. J Ophthalmol. 2018;2018:9089285. doi: 10.1155/2018/9089285.

Awasthi N, Guo S, Wagner BJ. Posterior capsular opacification: a problem reduced but not yet eradicated. Arch. Ophthalmol. 2009;127(4): 555-62.

Çomez AT, Ozkurt YB, Karadag O, Dogan OK. The effect of intraocular lens material on posterior capsular opacification. Kartal Egitim ve Arastirma Hastanesi Tip Dergisi. 2006; 17(1): 17-21.

Zhao Y, Yang K, Li J, Huang Y, Zhu S. Comparison of hydrophobic and hydrophilic intraocular lens in preventing posterior capsule opacification after cataract surgery: An updated meta-analysis. Medicine (Baltimore).2017;96(44):e8301.doi:10.1097/MD. 0000000000008301

Iliescu IM, Constantin MA, Cozma C, Moraru OM, Moraru CM. Posterior capsule opacification and Nd-YAG rates evaluation in a large series of pseudophakic cases. Rom J Ophthalmol. 2017;61(4):267–74.

Langwińska-Wośko E, Broniek-Kowalik K, Szulborski K. The impact of capsulorhexis diameter, localization and shape on posterior capsule opacification. Med Sci Monit. 2011;17(10):CR577-82.

Rim TH, Yoon CY, Park HW, Chung EJ: Association between starting hemodialysis for end-stage renal disease and incident cataract surgery: a 12-year nationwide cohort study. Invest Ophthalmol Vis Sci. 2016; 57(3): 1112–9.

Minen M, Arıcı MK, Erdogan H, Topalkara A, Toker İ, Gültekin F. [Ophtalmologic findings in hemodialysis patients]. Turk J Ophthalmol 2001; 31: 352-60.

Demir MN, Kocaoglan H, Akay H, Duranay M, Duman S. [Ophtalmologic findings in chronic renal disease]. Turk J Ophthalmol 2006; 36(2): 150-5.

Stibor V, Lachmanová J, Tomásek R. Changes in the lens and cataract surgery in dialyzed patients. Cesk Oftalmol. 1989;45(4):253-60.

Vrabec R, Vatavuk Z, Pavlovic D, Sesar A, Cala S, Mandic K, et al. Ocular findings in patients with chronic renal failure undergoing hemodialysis. Coll Antropol.2005;29(suppl 1):95-8.

Albert K, Sennesael J, Haentjens P. Incidence and risk factors for posttransplant subcapsular cataract: a long-term retrospective cohort study. Transplant Proc.2011;43(9):3465-9.

Liu YT, Hung TY, Lee YK, Huang MY, Hsu CY, Su YC. Association between chronic kidney disease and risk of cataract: A nationwide retrospective cohort study. Am J Nephrol. 2017;45(6):524-31.

Dursun D, Akova YA, Akman A, Oto S, Aydin P. Complications of extracapsular cataract surgery in chronic renal failure patients. Eye (Lond). 2000 ;14 (2):176-9.

Chen Y, Cai J, Liu H. Phacoemulsification and intraocular lens implantation in patients with chronic renal failure and cataract. Zhonghua Yan KeZaZhi. 2001;37(5):332-4.

Delcourt C, Carriere I, Delage M, Descomps B, Cristol JP, Papoz L. Associations of cataract with antioxidant enzymes and other risk factors: the French Age-Related Eye Diseases (POLA) Prospective Study. Ophthalmology. 2003;110(12):2318–26.

Hodge WG, Whitcher JP, Satariano W. Risk factors for age related cataracts. Epidemiol Rev. 1995;17(2):336–46.

Metcalfe W, Khan IH, Prescott GJ, Simpson K, Macleod AM; Scottish Renal Registry. End-stage renal disease in Scotland: outcomes and standards of care. Kidney Int. 2003;64(5):1808–16.

Huynh SC, Kifley A, Strippoli GF, Mitchell P. Is renal impairment a predictor of the incidence of cataract or cataract surgery: findings from a population-based study. Ophthalmology. 2005;112(2):293–300.



  • There are currently no refbacks.

Copyright (c) 2019 Ayd?n Y?ld?z, ARZU TASKIRAN COMEZ

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.