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What to do with limited view: the intumescent cataract.
J Cataract Refract Surg. 1993 Sep; 19(5):657-61.JC

Abstract

In 1991, 2,967 consecutive cataract cases were analyzed in a prospective, observational study for the incidence of intumescent cataract. Thirty four (1.15%) of the cases were mature intumescent lenses. A deliberately small continuous curvilinear capsulorhexis (CCC) enlarged secondarily by the two-stage continuous curvilinear capsulorhexis (2-CCC) technique was the anterior capsulotomy approach of choice. Depending on the liquidity of the lens material, liquid cortex was aspirated using a 26- or 30-gauge needle before capsulorhexis or through a small CCC. Because of loss of CCC control, a can-opener capsulotomy was used in three of the 34 cases before being converted by the 2-CCC technique. The rigid nucleus was usually extracted using the down-slope nucleofractis phacoemulsification technique. Four (11.7%) of the 34 intumescent cases had anterior capsule tears during capsulotomy. Successful in-the-bag lens implantation was achieved in all cases. We describe a technique of CCC, 2-CCC, and down-slope sculpting nucleofractis phacoemulsification to manage intumescent cataracts.

Authors+Show Affiliations

Gimbel Eye Centre, Calgary, Alberta, Canada.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

7980732

Citation

Gimbel, H V., and A B. Willerscheidt. "What to Do With Limited View: the Intumescent Cataract." Journal of Cataract and Refractive Surgery, vol. 19, no. 5, 1993, pp. 657-61.
Gimbel HV, Willerscheidt AB. What to do with limited view: the intumescent cataract. J Cataract Refract Surg. 1993;19(5):657-61.
Gimbel, H. V., & Willerscheidt, A. B. (1993). What to do with limited view: the intumescent cataract. Journal of Cataract and Refractive Surgery, 19(5), 657-61.
Gimbel HV, Willerscheidt AB. What to Do With Limited View: the Intumescent Cataract. J Cataract Refract Surg. 1993;19(5):657-61. PubMed PMID: 7980732.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - What to do with limited view: the intumescent cataract. AU - Gimbel,H V, AU - Willerscheidt,A B, PY - 1993/9/1/pubmed PY - 1993/9/1/medline PY - 1993/9/1/entrez SP - 657 EP - 61 JF - Journal of cataract and refractive surgery JO - J Cataract Refract Surg VL - 19 IS - 5 N2 - In 1991, 2,967 consecutive cataract cases were analyzed in a prospective, observational study for the incidence of intumescent cataract. Thirty four (1.15%) of the cases were mature intumescent lenses. A deliberately small continuous curvilinear capsulorhexis (CCC) enlarged secondarily by the two-stage continuous curvilinear capsulorhexis (2-CCC) technique was the anterior capsulotomy approach of choice. Depending on the liquidity of the lens material, liquid cortex was aspirated using a 26- or 30-gauge needle before capsulorhexis or through a small CCC. Because of loss of CCC control, a can-opener capsulotomy was used in three of the 34 cases before being converted by the 2-CCC technique. The rigid nucleus was usually extracted using the down-slope nucleofractis phacoemulsification technique. Four (11.7%) of the 34 intumescent cases had anterior capsule tears during capsulotomy. Successful in-the-bag lens implantation was achieved in all cases. We describe a technique of CCC, 2-CCC, and down-slope sculpting nucleofractis phacoemulsification to manage intumescent cataracts. SN - 0886-3350 UR - https://www.unboundmedicine.com/medline/citation/7980732/What_to_do_with_limited_view:_the_intumescent_cataract_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886-3350(13)80021-1 DB - PRIME DP - Unbound Medicine ER -