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Intraoperative complications in intumescent cataract surgery using a phaco capsulotomy technique.
J Cataract Refract Surg. 2016 08; 42(8):1141-5.JC

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.

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Authors+Show Affiliations

Genç S
From the Department of Ophthalmology (Genç, Özertürk), Lütfi Kırdar Kartal Eye Training and Research Hospital, and the Eye Clinic (Güler, Çakır), Türkiye Hospital, Istanbul, Turkey.
Güler E
From the Department of Ophthalmology (Genç, Özertürk), Lütfi Kırdar Kartal Eye Training and Research Hospital, and the Eye Clinic (Güler, Çakır), Türkiye Hospital, Istanbul, Turkey. Electronic address: guleremre83@hotmail.com.
Çakır H
From the Department of Ophthalmology (Genç, Özertürk), Lütfi Kırdar Kartal Eye Training and Research Hospital, and the Eye Clinic (Güler, Çakır), Türkiye Hospital, Istanbul, Turkey.
Özertürk Y
From the Department of Ophthalmology (Genç, Özertürk), Lütfi Kırdar Kartal Eye Training and Research Hospital, and the Eye Clinic (Güler, Çakır), Türkiye Hospital, Istanbul, Turkey.

MeSH

CapsulorhexisCataractHumansIntraoperative ComplicationsPhacoemulsificationVisual Acuity

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27531289

Citation

Genç, Selim, et al. "Intraoperative Complications in Intumescent Cataract Surgery Using a Phaco Capsulotomy Technique." Journal of Cataract and Refractive Surgery, vol. 42, no. 8, 2016, pp. 1141-5.
Genç S, Güler E, Çakır H, et al. Intraoperative complications in intumescent cataract surgery using a phaco capsulotomy technique. J Cataract Refract Surg. 2016;42(8):1141-5.
Genç, S., Güler, E., Çakır, H., & Özertürk, Y. (2016). Intraoperative complications in intumescent cataract surgery using a phaco capsulotomy technique. Journal of Cataract and Refractive Surgery, 42(8), 1141-5. https://doi.org/10.1016/j.jcrs.2016.06.025
Genç S, et al. Intraoperative Complications in Intumescent Cataract Surgery Using a Phaco Capsulotomy Technique. J Cataract Refract Surg. 2016;42(8):1141-5. PubMed PMID: 27531289.
* Article titles in AMA citation format should be in sentence-case
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 -