scholarly journals Routine follow-up after YAG laser capsulotomy for posterior capsule opacification

Eye ◽  
2006 ◽  
Vol 20 (12) ◽  
pp. 1449-1450 ◽  
Author(s):  
H J Bunting ◽  
H Laganowski
Keyword(s):  
Posterior Capsule Opacification ◽  
Posterior Capsule ◽  
Yag Laser

Phacoemulsification on Previously Vitrectomized Eyes: Results of a 10-Year Period

2007 ◽  
Vol 17 (4) ◽  
pp. 601-604 ◽  
Author(s):  
Z. Szijártó ◽  
B. Haszonits ◽  
Z. Biró ◽  
B. Kovács
Keyword(s):  
Postoperative Complications ◽  
Intraoperative Complications ◽  
Posterior Capsule Opacification ◽  
Posterior Capsule ◽  
Safe Procedure ◽  
Intraocular Pressure Elevation ◽  
Posterior Capsule Rupture ◽  
Pars Plana ◽  
Visual Results

Purpose To provide an overview of intraoperative and postoperative complications during phacoemulsification cataract surgery and to evaluate the visual results in patients having pars plana vitrectomy (PPV) with 10 years of follow-up. Methods Retrospective evaluation of intraoperative and postoperative complications and postoperative visual results in 134 consecutive patients who underwent phacoemulsification after PPV. Of 11,498 eyes treated with phacoemulsification, 143 (1.2%) had previous PPV during the 10-year period (January 1, 1995-December 31, 2004). A total of 134 eyes were included in this study. Results The phacoemulsification procedure seemed to be difficult where there was a deep or fluctuating anterior chamber (93%) and primary posterior capsule opacification (19%). The most frequent intraoperative complications were posterior capsule rupture (9%) and incomplete capsular rhexis (5%). Postoperative intraocular pressure elevation (7%), retinal detachment (6%), and posterior capsule opacification (8%) occurred most frequently during the mean follow-up period of 18.2 months (1.5–110 months). Best-corrected visual acuity (BCVA) increased two or more Snellen E lines in 55% of the cases or became better than or equal to 0.5 in 10% of the cases. Conclusions Despite the well-known difficulties encountered in vitrectomized eyes such as zonular damage, increased mobility of the lens-iris diaphragm, and altered intraocular fluid dynamics, phacoemulsification proved to be a safe procedure in the hands of experienced surgeons.

scholarly journals Comparison of postoperative results after implantation of hydrophilic acrylic or hydrophobic acrylic intraocular lens: Data of one-year prospective clinical study

Medicina ◽  
2008 ◽  
Vol 44 (12) ◽  
pp. 936 ◽  
Author(s):  
Reda Žemaitienė ◽  
Martynas Špečkauskas ◽  
Brigita Glebauskienė ◽  
Vytautas Jašinskas
Keyword(s):  
Visual Acuity ◽  
Clinical Study ◽  
Posterior Capsule Opacification ◽  
Intraocular Lenses ◽  
Posterior Capsule ◽  
Prospective Clinical Study ◽  
Single Piece ◽  
One Year ◽  
Hydrophobic Acrylic

Objective. To evaluate and compare the impact of two sharp-edge optic foldable intraocular lenses (IOLs) of similar design made from different material (hydrophilic acrylic or hydrophobic acrylic) on visual function, anterior and posterior capsule opacification at one-year follow-up after cataract phacoemulsification. Material and methods. Seventy-two eyes of 72 patients scheduled for cataract surgery were included in a prospective clinical study. Two foldable sharp-edge optic posterior chamber acrylic IOLs of similar design were used. Thirty-nine eyes of 39 patients received a single-piece hydrophilic acrylic (PC 511, Ophtec) IOL and 33 eyes of 33 patients – single-piece hydrophobic acrylic (AcrySof, SA60AT, Alcon) IOL. Visual acuity, anterior capsule opacification (ACO), capsulorrhexis/optic overlapping, and posterior capsule opacification (PCO) were evaluated. The intensity of ACO was assessed subjectively. PCO values in the entire IOL optic area and in the central 3-mm optic zone were assessed using a photographic image analysis system (EPCO 2000). The patients were examined at one year postoperatively. Results. There were no significant differences in best-corrected visual acuity and capsulorrhexis/optic overlapping between IOL types at 1-year follow-up after surgery. In the single-piece hydrophilic acrylic IOL group, the grade of ACO density was significantly higher in capsulorrhexis rim area (1.56±0.71 and 1.00±0.75) and in the capsule/optic area (1.62±0.67 and 1.00±0.75) (P<0.05). PCO values of the entire IOL optic area (0.12±0.13 and 0.024±0.02) as well as in the central 3-mm optic zone (0.06±0.11 and 0.001±0.003) was significantly higher in the single-piece hydrophilic acrylic IOL group one year postoperatively (P<0.05). In 33.3% of cases of the single-piece hydrophilic acrylic IOL group, contraction of haptics to IOL optics was present one year postoperatively, which was not present in any case of the single-piece hydrophobic acrylic IOL group. Conclusions. One-year follow-up after cataract surgery has shown a significant difference in ACO and PCO development comparing single-piece hydrophilic acrylic and single-piece hydrophobic acrylic intraocular lenses. The effect of hydrophobic acrylic foldable lenses on preventing anterior and posterior capsule opacification is mainly a result of the acrylic hydrophobic biomaterial.

scholarly journals ND: YAG LASER CAPSULOTOMY AND COMPLICATIONS

2007 ◽  
Vol 14 (04) ◽  
pp. 616-619
Author(s):  
EJAZ AHMAD JAVED ◽  
ZIA UD DIN AHMAD ◽  
MUHAMMAD SULTAN
Keyword(s):  
Intraocular Pressure ◽  
Cataract Extraction ◽  
Applanation Tonometry ◽  
Posterior Capsule ◽  
Yag Laser ◽  
Time Period ◽  
History Of ◽  
Corneal Damage ◽  
Study Setting

Objectives: To evaluate the complications of Nd:Yag laser when applied onpostoperative posterior capsule opacification (PCO), following extra capsular cataract extraction (ECCE) with intraocularlens (IOL). Design: Analytical and descriptive study. Setting: Eye OPD of DHQ Hospital, PMC and Clinic of ProfessorZia ud Din Ahmad, Faisalabad. Period: From Jan 2006 to Jan 2007. Material & Methods. There were 120 patients;age ranged from 15 years to 80 years with post operated extra capsular cataract extraction with posterior capsularopacification. A Proforma was made which included detailed history of diabetes, hypertension, time period of cataractextraction, other relevant surgical or medical history, and examination e.g. Visual acuity, slit lamp examination,intraocular pressure measurement (applanation tonometry) dilated posterior capsule examination and slit lampbiomicroscopy etc. The patients were kept under observation for 5 hour and called for follow up after one week.Results. Out of 120 patients 70 eyes showed visual improvement from 6/18 to 6/6 (58.34%), while 30 Shown visualacuity improvement from count figures to 6/24 (25%), mild anterior uveitis occurred in 8 cases (6.67%), corneal damagein 2 cases (1.6%) while transient raised Intraocular Pressure (IOP) in 7 cases (5.83%). The damage to IOL observedin 3(2.5%), the corneal damage was seen in 2 cases (1.67%). Conclusions: The Nd; Yag Laser is very effective, cheapand easy mode of treatment for PCO with minimal post laser complications.

Sign in / Sign up

Export Citation Format

Share Document