Incidence and associated factors of Nd:YAG posterior capsulotomy after premium IOL implantation surgery: a systematic review and meta-analysis

This systematic review and meta-analysis revealed that silicone, plate-loop or four-haptic, round-edge, and accommodative IOLs were associated with a higher incidence of Nd:YAG posterior capsulotomy. Clinicians should be aware that, for patients at higher risk of PCO, such as those with high myopia, younger age, diabetes, or grade III-V nuclear hardness, these IOLs should be avoided to reduce the risk of PCO and the need for Nd:YAG capsulotomy.