Tags

Type your tag names separated by a space and hit enter

Clinical characteristics and surgical outcomes of phacoemulsification in true exfoliation syndrome.
J Cataract Refract Surg. 2014 Jan; 40(1):82-6.JC

Abstract

PURPOSE

To review the clinical characteristics and surgical outcomes of patients with true exfoliation syndrome of the lens capsule having phacoemulsification cataract surgery.

SETTING

Hong Kong Eye Hospital, Kowloon, Hong Kong.

DESIGN

Case series.

METHODS

Eyes of patients with true exfoliation syndrome diagnosed clinically or intraoperatively had standard phacoemulsification and intraocular lens (IOL) implantation. The anterior capsules removed during capsulorhexis were sent for histological confirmation.

RESULTS

Twenty-four eyes of 18 patients were included. All eyes were confirmed to have true exfoliation syndrome by histological examination of the anterior lens capsule. Seven eyes (29.2%) had preexisting chronic glaucoma; 5 (20.8%) had laser iridotomy before the diagnosis. During phacoemulsification, all eyes had a continuous curvilinear capsulorhexis without complications. Trypan blue staining was used during capsulorhexis in 11 eyes (45.8%). Posterior capsule rupture occurred during lens chopping in 1 eye (4.2%). No loose zonular fibers or radial extension of capsulorhexis occurred. Capsular bag IOL implantation was successfully performed in all cases except the 1 with a posterior capsule rupture, in which an anterior chamber IOL was implanted.

CONCLUSIONS

Phacoemulsification was safely performed in eyes with true exfoliation syndrome. Trypan blue staining can be used to facilitate capsulorhexis creation. Ultrasound biomicroscopy or anterior segment optical coherence tomography may be useful in preoperative assessment of such cases. The disease may be associated with glaucoma and laser iridotomy.

Authors+Show Affiliations

From the Hong Kong Eye Hospital (Chan, Fong, Lam, Yuen) and the Department of Ophthalmology (Wong), Caritas Medical Centre, Kowloon, Hong Kong.From the Hong Kong Eye Hospital (Chan, Fong, Lam, Yuen) and the Department of Ophthalmology (Wong), Caritas Medical Centre, Kowloon, Hong Kong. Electronic address: tommychan.me@gmail.com.From the Hong Kong Eye Hospital (Chan, Fong, Lam, Yuen) and the Department of Ophthalmology (Wong), Caritas Medical Centre, Kowloon, Hong Kong.From the Hong Kong Eye Hospital (Chan, Fong, Lam, Yuen) and the Department of Ophthalmology (Wong), Caritas Medical Centre, Kowloon, Hong Kong.From the Hong Kong Eye Hospital (Chan, Fong, Lam, Yuen) and the Department of Ophthalmology (Wong), Caritas Medical Centre, Kowloon, Hong Kong.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24238944

Citation

Wong, Amy L., et al. "Clinical Characteristics and Surgical Outcomes of Phacoemulsification in True Exfoliation Syndrome." Journal of Cataract and Refractive Surgery, vol. 40, no. 1, 2014, pp. 82-6.
Wong AL, Chan TC, Fong AH, et al. Clinical characteristics and surgical outcomes of phacoemulsification in true exfoliation syndrome. J Cataract Refract Surg. 2014;40(1):82-6.
Wong, A. L., Chan, T. C., Fong, A. H., Lam, B. N., & Yuen, H. K. (2014). Clinical characteristics and surgical outcomes of phacoemulsification in true exfoliation syndrome. Journal of Cataract and Refractive Surgery, 40(1), 82-6. https://doi.org/10.1016/j.jcrs.2013.06.022
Wong AL, et al. Clinical Characteristics and Surgical Outcomes of Phacoemulsification in True Exfoliation Syndrome. J Cataract Refract Surg. 2014;40(1):82-6. PubMed PMID: 24238944.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical characteristics and surgical outcomes of phacoemulsification in true exfoliation syndrome. AU - Wong,Amy L, AU - Chan,Tommy C Y, AU - Fong,Angie H C, AU - Lam,Ben N M, AU - Yuen,Hunter K L, Y1 - 2013/11/14/ PY - 2013/03/24/received PY - 2013/06/20/revised PY - 2013/06/21/accepted PY - 2013/11/19/entrez PY - 2013/11/19/pubmed PY - 2014/6/28/medline SP - 82 EP - 6 JF - Journal of cataract and refractive surgery JO - J Cataract Refract Surg VL - 40 IS - 1 N2 - PURPOSE: To review the clinical characteristics and surgical outcomes of patients with true exfoliation syndrome of the lens capsule having phacoemulsification cataract surgery. SETTING: Hong Kong Eye Hospital, Kowloon, Hong Kong. DESIGN: Case series. METHODS: Eyes of patients with true exfoliation syndrome diagnosed clinically or intraoperatively had standard phacoemulsification and intraocular lens (IOL) implantation. The anterior capsules removed during capsulorhexis were sent for histological confirmation. RESULTS: Twenty-four eyes of 18 patients were included. All eyes were confirmed to have true exfoliation syndrome by histological examination of the anterior lens capsule. Seven eyes (29.2%) had preexisting chronic glaucoma; 5 (20.8%) had laser iridotomy before the diagnosis. During phacoemulsification, all eyes had a continuous curvilinear capsulorhexis without complications. Trypan blue staining was used during capsulorhexis in 11 eyes (45.8%). Posterior capsule rupture occurred during lens chopping in 1 eye (4.2%). No loose zonular fibers or radial extension of capsulorhexis occurred. Capsular bag IOL implantation was successfully performed in all cases except the 1 with a posterior capsule rupture, in which an anterior chamber IOL was implanted. CONCLUSIONS: Phacoemulsification was safely performed in eyes with true exfoliation syndrome. Trypan blue staining can be used to facilitate capsulorhexis creation. Ultrasound biomicroscopy or anterior segment optical coherence tomography may be useful in preoperative assessment of such cases. The disease may be associated with glaucoma and laser iridotomy. SN - 1873-4502 UR - https://www.unboundmedicine.com/medline/citation/24238944/Clinical_characteristics_and_surgical_outcomes_of_phacoemulsification_in_true_exfoliation_syndrome_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886-3350(13)01119-X DB - PRIME DP - Unbound Medicine ER -