Abstract
PURPOSE
To evaluate intraoperative complications of a modified phaco capsulotomy technique and the ophthalmic viscosurgical device (OVD)-assisted capsulorhexis in eyes with intumescent white cataract.
SETTING
Lütfi Kırdar Kartal Eye Training and Research Hospital, Department of Ophthalmology, Istanbul, Turkey.
DESIGN
Comparative randomized case study.
METHODS
Eyes of patients with intumescent white cataract were divided into 2 equal groups. After the anterior capsule was stained with trypan blue, Group 1 received a modified phaco capsulotomy technique and Group 2 received a high-viscosity OVD-assisted capsulorhexis. The OVD used was sodium hyaluronate 2.0% (Protectalon 2.0%) Main outcomes were the capsulorhexis diameters, the deviations from the target diameter, and intraoperative complications.
RESULTS
Eighty eyes of 80 patients were enrolled. There was a deviation from the target capsulorhexis diameter in 15 eyes (11 oversized, 4 undersized) in Group 1 and in 20 eyes (16 oversized, 6 undersized) in Group 2. Capsule tears during capsulorhexis were observed in 2 eyes in Group 1, and the surgery was changed to extracapsular cataract extraction (ECCE) in 1 eye. In Group 2, capsule tears during capsulorhexis occurred in 22 eyes and 20 of these were managed with ECCE.
CONCLUSION
The modified phaco capsulotomy technique might reduce the risk for capsule tear during capsulorhexis, leading to safe cataract surgery in cases of intumescent cataracts.
FINANCIAL DISCLOSURE
None of the authors has a financial or proprietary interest in any material or method mentioned.
TY - JOUR
T1 - Intraoperative complications in intumescent cataract surgery using a phaco capsulotomy technique.
AU - Genç,Selim,
AU - Güler,Emre,
AU - Çakır,Hanefi,
AU - Özertürk,Yusuf,
PY - 2016/04/04/received
PY - 2016/06/01/revised
PY - 2016/06/04/accepted
PY - 2016/8/18/entrez
PY - 2016/8/18/pubmed
PY - 2018/10/9/medline
SP - 1141
EP - 5
JF - Journal of cataract and refractive surgery
JO - J Cataract Refract Surg
VL - 42
IS - 8
N2 - PURPOSE: To evaluate intraoperative complications of a modified phaco capsulotomy technique and the ophthalmic viscosurgical device (OVD)-assisted capsulorhexis in eyes with intumescent white cataract. SETTING: Lütfi Kırdar Kartal Eye Training and Research Hospital, Department of Ophthalmology, Istanbul, Turkey. DESIGN: Comparative randomized case study. METHODS: Eyes of patients with intumescent white cataract were divided into 2 equal groups. After the anterior capsule was stained with trypan blue, Group 1 received a modified phaco capsulotomy technique and Group 2 received a high-viscosity OVD-assisted capsulorhexis. The OVD used was sodium hyaluronate 2.0% (Protectalon 2.0%) Main outcomes were the capsulorhexis diameters, the deviations from the target diameter, and intraoperative complications. RESULTS: Eighty eyes of 80 patients were enrolled. There was a deviation from the target capsulorhexis diameter in 15 eyes (11 oversized, 4 undersized) in Group 1 and in 20 eyes (16 oversized, 6 undersized) in Group 2. Capsule tears during capsulorhexis were observed in 2 eyes in Group 1, and the surgery was changed to extracapsular cataract extraction (ECCE) in 1 eye. In Group 2, capsule tears during capsulorhexis occurred in 22 eyes and 20 of these were managed with ECCE. CONCLUSION: The modified phaco capsulotomy technique might reduce the risk for capsule tear during capsulorhexis, leading to safe cataract surgery in cases of intumescent cataracts. FINANCIAL DISCLOSURE: None of the authors has a financial or proprietary interest in any material or method mentioned.
SN - 1873-4502
UR - https://www.unboundmedicine.com/medline/citation/27531289/Intraoperative_complications_in_intumescent_cataract_surgery_using_a_phaco_capsulotomy_technique_
L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886-3350(16)30238-3
DB - PRIME
DP - Unbound Medicine
ER -
