RESUMEN
In the course of the past few years the incidence of secondary cataract has reduced continually due to advanced surgical technique and better lens material and design. To evaluate the progression of posterior capsule opacification (PCO) and IOL-decentration after implantation of two hydrophilic acrylic intraocular lenses (IOL) we set up two pilot studies at two different ophthalmological surgical centres. After extracapsular cataract extraction 15 patients got the Akreos Disc-IOL (Bausch and Lomb) and 12 patients the Akreos Fit-IOL (Bausch and Lomb) implanted. Examinations were done over a period of 12 months. The protocol included the determination of visual acuity, an examination of the anterior segment, evaluation of IOL-decentration and the scoring of PCO with EPCO 2000 by digital photography of the posterior capsule. All patients showed a well centred IOL and stable visual acuity over 12 months. None had to undergo Nd:YAG-capsulotomy. PCO was low and only slightly progressive over the time period.