37. EVALUATION OF THE RESULTS OF PHACO SURGERY TO TREAT CATARACTS IN EYES WITH PSEUDOCAPSULAR DETACHMENT SYNDROME AT HOSPITAL 19-8
Main Article Content
Abstract
Objective: Evaluate the results of Phaco surgery on eyes with pseudocapsular detachment syndrome; study complications and treatment during and after surgery.
Subjects and methods: Clinical intervention study, 30 eyes of 30 patients with cataract in eyes with pseudocapsular detachment syndrome underwent Phaco surgery to place monofocal artificial lenses, followed up 1 week, 1 month, 3 months after surgery.
Results: 93.4% of eyes had visual acuity > 5/10. Average visual acuity was 0.63. Intraocular pressure was reduced by 2.0 mmHg. Complications of anterior capsule tear 3.3%, posterior capsule tear, vitreous escape 6.7%, Descemet membrane detachment 3.3%. Complications of keratitis 16.7%, uveitis 6.7%, anterior capsule fibrosis 3.3%, posterior capsule opacification 6.7%. Intervention of small poorly dilated pupils by pupil dilation technique or using iris hooks gave good results.
Conclusion: Phaco surgery on pseudocapsular detachment eyes is a difficult technique, requiring highly skilled surgeons. To ensure safe and effective surgery on pseudocapsular detachment eyes, surgeons need to carefully plan the surgery to limit complications.
Article Details
Keywords
Cataract, pseudocapsular detachment, Phaco surgery.
References
[2] Farhoudi D.B, Behndig A, Mollazadegan K, Montan P, Lundstrom M, Kugelberg M. Spectacle use after routine cataract surgery and vision-related activity limitation. Acta Ophthalmol, 2018, 96: 582-5.
[3] Toyama T, Ueta T, Yoshitani M, Sakata R, Numaga J. Visual acuity improvement after phacoemulsification cataract surgery in patients aged ≥ 90 years. BMC Ophthalmol, 2018, 18: 280.
[4] Sarı E.S, Atakan M, Yazıcı A, Ermiş S.S. Diyabetik ve diyabetik olmayan gözlerde komplikasyonsuz katarakt cerrahis, 2016.
[5] Lv H, Yang J, Liu Y, Jiang X, Liu Y, Zhang M et al. Changes of intraocular pressure after cataract surgery in myopic and emmetropic patients. Medicine, 2018, 97: e12023-e.
[6] İsmi T, Yılmaz A. Effects of cataract surgery on intraocular pressure in patients with and without glaucoma. TJO, 2013, 43: 167-72.
[7] Iancu R, Corbu C. Intraocular pressure after phacoemulsification in patients with uncontrolled primary open angle glaucoma. J Med Life, 2014, 7: 11-6.
[8] Shingleton B.J, Bao Kim C Nguyen, Edward F Eagan, Karina Nagao. Ombined cataract and trabeculectomy surgery in eyes with pseudoexfoliation glaucoma, 2008. [PubMed].
9] Khare P, Tyagi M, Shrivastava M. Recurrent uveitis after phacoemulsification. Indian J Clin Exp Ophthalmol, 2018.
[10] Nouri M, Penida R. Descemet membrane tear after cataract surgery, 2022. [PubMed].
[11] Panvini A.R, Busingye J. Persistent inflammation after complex cataract surgery. Invest Ophthalmol Vis Sci, 2018.
[12] Wong C.W, Wong E, Metselaar J.M, Storm G, Wong T.T. Liposomal drug delivery system for anti-inflammatory treatment after cataract surgery: A phase I/II clinical trial. Drug Deliv Transl Res, 2022.
[13] Erichsen J.H, Forman J.L, Holm L.M, Kessel L. Effect of anti-inflammatory regimen on early postoperative inflammation after cataract surgery. J Cataract Refract Surg, 2021.
[14] Rahul B, Meghana, Snehal N, Vasudeo K, Juilee K. Effect of anterior capsular polishing on the rate of posterior capsule opacification: A retrospective analytical study, 2010. [PubMed].