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Lens decompression technique for prevention of intraoperative complications during phacoemulsification of intumescent cataract.
Indian J Ophthalmol. 2017 Dec; 65(12):1436-1439.IJ

Abstract

PURPOSE

To evaluate intraoperative complications during phacoemulsification of intumescent cataract using lens decompression technique.

METHODS

Participants with intumescent cataract scheduled for phacoemulsification were recruited and divided into two groups. In both groups, after the anterior capsule was stained with trypan blue, the anterior chamber was filled peripherally with a dispersive ophthalmic viscosurgical device (OVD) followed centrally by a higher viscosity cohesive OVD (Healon GV). In Group 2, a 25-gauge needle was then inserted into the lens center and liquid cortex aspirated by pulling back on the syringe plunger. The outcomes measured were the incidence of capsular radial tears and the incidence of conversion to extracapsular cataract extraction (ECCE).

RESULTS

In Group 1 (20 eyes), capsular radial tears occurred in four eyes, and in two eyes, the procedure had to be converted to ECCE. In Group 2 (20 eyes), no capsular radial tears or conversion to ECCE was reported.

CONCLUSION

Lens decompression technique reduced the risk of capsular radial tears and conversion to ECCE during phacoemulsification of intumescent cataract.

Authors+Show Affiliations

Department of Ophthalmology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt.

Pub Type(s)

Journal Article
Video-Audio Media

Language

eng

PubMed ID

29208830

Citation

Nabil, Karim Mahmoud. "Lens Decompression Technique for Prevention of Intraoperative Complications During Phacoemulsification of Intumescent Cataract." Indian Journal of Ophthalmology, vol. 65, no. 12, 2017, pp. 1436-1439.
Nabil KM. Lens decompression technique for prevention of intraoperative complications during phacoemulsification of intumescent cataract. Indian J Ophthalmol. 2017;65(12):1436-1439.
Nabil, K. M. (2017). Lens decompression technique for prevention of intraoperative complications during phacoemulsification of intumescent cataract. Indian Journal of Ophthalmology, 65(12), 1436-1439. https://doi.org/10.4103/ijo.IJO_352_17
Nabil KM. Lens Decompression Technique for Prevention of Intraoperative Complications During Phacoemulsification of Intumescent Cataract. Indian J Ophthalmol. 2017;65(12):1436-1439. PubMed PMID: 29208830.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lens decompression technique for prevention of intraoperative complications during phacoemulsification of intumescent cataract. A1 - Nabil,Karim Mahmoud, PY - 2017/12/7/entrez PY - 2017/12/7/pubmed PY - 2017/12/30/medline SP - 1436 EP - 1439 JF - Indian journal of ophthalmology JO - Indian J Ophthalmol VL - 65 IS - 12 N2 - PURPOSE: To evaluate intraoperative complications during phacoemulsification of intumescent cataract using lens decompression technique. METHODS: Participants with intumescent cataract scheduled for phacoemulsification were recruited and divided into two groups. In both groups, after the anterior capsule was stained with trypan blue, the anterior chamber was filled peripherally with a dispersive ophthalmic viscosurgical device (OVD) followed centrally by a higher viscosity cohesive OVD (Healon GV). In Group 2, a 25-gauge needle was then inserted into the lens center and liquid cortex aspirated by pulling back on the syringe plunger. The outcomes measured were the incidence of capsular radial tears and the incidence of conversion to extracapsular cataract extraction (ECCE). RESULTS: In Group 1 (20 eyes), capsular radial tears occurred in four eyes, and in two eyes, the procedure had to be converted to ECCE. In Group 2 (20 eyes), no capsular radial tears or conversion to ECCE was reported. CONCLUSION: Lens decompression technique reduced the risk of capsular radial tears and conversion to ECCE during phacoemulsification of intumescent cataract. SN - 1998-3689 UR - https://www.unboundmedicine.com/medline/citation/29208830/Lens_decompression_technique_for_prevention_of_intraoperative_complications_during_phacoemulsification_of_intumescent_cataract_ L2 - http://www.ijo.in/article.asp?issn=0301-4738;year=2017;volume=65;issue=12;spage=1436;epage=1439;aulast=Nabil DB - PRIME DP - Unbound Medicine ER -