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Effect of primary posterior continuous curvilinear capsulorhexis with and without posterior optic buttonholing on postoperative anterior chamber flare.J Cataract Refract Surg. 2009 Mar; 35(3):480-4.JC
Abstract
PURPOSE
To evaluate the effect of primary posterior continuous curvilinear capsulorhexis (PCCC) with and without posterior optic buttonholing (POBH) on the anterior chamber reaction after small-incision cataract surgery.
SETTING
Department of Ophthalmology, Medical University of Vienna, Vienna, Austria.
METHODS
Consecutive patients with age-related cataract having cataract surgery in both eyes under topical anesthesia were prospectively enrolled in a randomized clinical trial. In randomized order, cataract surgery with combined primary PCCC and POBH was performed in 1 eye; in the other eye, cataract surgery was performed with primary PCCC and in-the-bag implantation of an intraocular lens. Intraocular flare was measured with an FC-1000 laser flare-cell meter preoperatively and postoperatively at 1, 4 to 6, and 24 hours, 1 week, and 1 month.
RESULTS
Thirty patients (60 eyes) were evaluated. The peak of intraocular flare was 1 hour postoperatively in all study eyes. In both groups, the response steadily decreased thereafter. Anterior chamber flare was statistically significantly higher in eyes with primary PCCC without POBH than in eyes with combined primary PCCC-POBH at all postoperative testing points (P<.001), including at 1 month (P = .01).
CONCLUSIONS
Cataract surgery with combined primary PCCC-POBH led to significantly lower postoperative anterior chamber reaction than conventional in-the-bag implantation during a 4-week follow-up. The tight capsule-optic diaphragm effectively prevented the ophthalmic viscosurgical device captured behind the optic from entering the anterior chamber postoperatively.
Links
MeSH
Pub Type(s)
Comparative Study
Journal Article
Randomized Controlled Trial
Language
eng
PubMed ID
19251141
Citation
Stifter, Eva, et al. "Effect of Primary Posterior Continuous Curvilinear Capsulorhexis With and Without Posterior Optic Buttonholing On Postoperative Anterior Chamber Flare." Journal of Cataract and Refractive Surgery, vol. 35, no. 3, 2009, pp. 480-4.
Stifter E, Menapace R, Kriechbaum K, et al. Effect of primary posterior continuous curvilinear capsulorhexis with and without posterior optic buttonholing on postoperative anterior chamber flare. J Cataract Refract Surg. 2009;35(3):480-4.
Stifter, E., Menapace, R., Kriechbaum, K., Vock, L., & Luksch, A. (2009). Effect of primary posterior continuous curvilinear capsulorhexis with and without posterior optic buttonholing on postoperative anterior chamber flare. Journal of Cataract and Refractive Surgery, 35(3), 480-4. https://doi.org/10.1016/j.jcrs.2008.11.041
Stifter E, et al. Effect of Primary Posterior Continuous Curvilinear Capsulorhexis With and Without Posterior Optic Buttonholing On Postoperative Anterior Chamber Flare. J Cataract Refract Surg. 2009;35(3):480-4. PubMed PMID: 19251141.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR
T1 - Effect of primary posterior continuous curvilinear capsulorhexis with and without posterior optic buttonholing on postoperative anterior chamber flare.
AU - Stifter,Eva,
AU - Menapace,Rupert,
AU - Kriechbaum,Katharina,
AU - Vock,Lorenz,
AU - Luksch,Alexandra,
PY - 2008/07/30/received
PY - 2008/11/16/revised
PY - 2008/11/18/accepted
PY - 2009/3/3/entrez
PY - 2009/3/3/pubmed
PY - 2009/5/22/medline
SP - 480
EP - 4
JF - Journal of cataract and refractive surgery
JO - J Cataract Refract Surg
VL - 35
IS - 3
N2 - PURPOSE: To evaluate the effect of primary posterior continuous curvilinear capsulorhexis (PCCC) with and without posterior optic buttonholing (POBH) on the anterior chamber reaction after small-incision cataract surgery. SETTING: Department of Ophthalmology, Medical University of Vienna, Vienna, Austria. METHODS: Consecutive patients with age-related cataract having cataract surgery in both eyes under topical anesthesia were prospectively enrolled in a randomized clinical trial. In randomized order, cataract surgery with combined primary PCCC and POBH was performed in 1 eye; in the other eye, cataract surgery was performed with primary PCCC and in-the-bag implantation of an intraocular lens. Intraocular flare was measured with an FC-1000 laser flare-cell meter preoperatively and postoperatively at 1, 4 to 6, and 24 hours, 1 week, and 1 month. RESULTS: Thirty patients (60 eyes) were evaluated. The peak of intraocular flare was 1 hour postoperatively in all study eyes. In both groups, the response steadily decreased thereafter. Anterior chamber flare was statistically significantly higher in eyes with primary PCCC without POBH than in eyes with combined primary PCCC-POBH at all postoperative testing points (P<.001), including at 1 month (P = .01). CONCLUSIONS: Cataract surgery with combined primary PCCC-POBH led to significantly lower postoperative anterior chamber reaction than conventional in-the-bag implantation during a 4-week follow-up. The tight capsule-optic diaphragm effectively prevented the ophthalmic viscosurgical device captured behind the optic from entering the anterior chamber postoperatively.
SN - 1873-4502
UR - https://www.unboundmedicine.com/medline/citation/19251141/Effect_of_primary_posterior_continuous_curvilinear_capsulorhexis_with_and_without_posterior_optic_buttonholing_on_postoperative_anterior_chamber_flare_
L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886-3350(08)01193-0
DB - PRIME
DP - Unbound Medicine
ER -
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