scholarly journals High Rate of Early Posterior Capsule Opacification following Femtosecond Laser-Assisted Cataract Surgery

2016 ◽  
Vol 7 (3) ◽  
pp. 491-495 ◽  
Author(s):  
Benjamin Rostami ◽  
Jack Tian ◽  
Nicholas Jackson ◽  
Rustum Karanjia ◽  
Kenneth Lu
Keyword(s):  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Postoperative Complication ◽  
Retrospective Review ◽  
Early Onset ◽  
Posterior Capsule Opacification ◽  
High Rate ◽  
Posterior Capsule ◽  
Time Period

Purpose: To compare the rates of rapid posterior capsule opacification (PCO) formation in the first 3 months following femtosecond laser-assisted cataract surgery (FLACS) to manual anterior capsulorhexis. Methods: Retrospective review of 29 cases of FLACS, comparing the rates of PCO in the first 3 months following surgery to 50 consecutive cases of manual anterior capsulorhexis. Results: Seven of the 29 FLACS cases developed PCO requiring capsulotomy at 3 months, while none of the control cases required a capsulotomy over the same time period (p < 0.05). Conclusion: There is an increased incidence of early-onset PCO following the use of femtosecond laser in cataract surgery that is otherwise unfounded in manual capsulorhexis. This suggests that the use of a femtosecond laser could increase the risk of this novel postoperative complication.

scholarly journals Frequency of Complications Following Cataract Surgery in Diabetic Patients at Tertiary Care Hospital

2022 ◽  
Vol 9 (1) ◽  
pp. 75-81
Author(s):  
Muhammad Bilal ◽  
Shafqat Ali Shah ◽  
Marina Murad ◽  
Saad Ali ◽  
Ammad Ali ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Tertiary Care ◽  
Case Series ◽  
Female Gender ◽  
Posterior Capsule Opacification ◽  
Posterior Capsule ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Case Series Study

OBJECTIVES: To determine the frequency of complications following cataract surgery in diabetic patients admitted in the ophthalmology unit. METHODOLOGY: A prospective descriptive interventional case series study was conducted after approval of the ethical committee, from June 2017-June 2020 at the Ophthalmology department MTI-MMC. A total of 129 patients from either gender were enrolled in study. All the study patients went through detailed history and complete ocular examination. After necessary investigations, surgical procedure was carried out. Results were analyzed through the SPSS-24 version. RESULTS: Out of the total 129 eyes of the diabetic patients, fifty-nine (45.7%) were males and seventy (54.3%) were females with a ratio of 1:1.2. Uveitis leads the chart in complications found in twenty (15.50%) eyes while PODR being the least common found in only ten (7.75%) eyes. Worse visual acuity was observed in fourteen (10.85%) eyes. Striate keratopathy and posterior capsule opacification were found in sixteen (12.40%) and fifteen (11.62%) eyes respectively. Among the patients, 15.7% were having more than one complication during follow-up visits and eighty-eight (68.2%) eyes were found to have none complication. The age group 51-60 years observed frequent complications as compared to other groups. Similarly female gender (38.57%) has frequent complications as compared to males (2.7%). CONCLUSION: The study concludes Uveitis as the most common complication observed in 15.50% 0f the eyes while worse visual acuity (10.85%) and progression of diabetic retinopathy (7.75%) being the least common. Striate keratopathy was found in 12.40% while posterior capsule opacification in 11.62% of the eyes.

Evaluation of posterior capsule opacification after cataract surgery using Liquifaction Method

2011 ◽  
Vol 89 (s248) ◽  
pp. 0-0
Author(s):  
M KALFERTOVA ◽  
M BUROVA ◽  
J NEKOLOVA ◽  
N JIRASKOVA ◽  
P ROZSIVAL
Keyword(s):  
Cataract Surgery ◽  
Posterior Capsule Opacification ◽  
Posterior Capsule

Comparison of real-world treatment outcomes of femtosecond laser-assisted cataract surgery and phacoemulsification cataract surgery: A retrospective, observational study from an outpatient clinic in France

2020 ◽  
pp. 112067212092576
Author(s):  
Philippe Charles Crozafon ◽  
Christine Bouchet ◽  
Monia Zignani ◽  
Ray Griner ◽  
Samuel D Foster ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Multiple Comparisons ◽  
Posterior Capsule Opacification ◽  
Dissipated Energy ◽  
Corneal Oedema ◽  
Corrected Distance Visual Acuity ◽  
Cumulative Dissipated Energy ◽  
Phacoemulsification Cataract Surgery

Purpose: This study compared real-world safety and efficacy outcomes of cataract surgery performed with LenSx femtosecond laser-assisted cataract surgery or manual phacoemulsification cataract surgery procedures. Methods: A retrospective observational study used data from anonymised electronic medical records to compare mean cumulative dissipated energy, the proportion of eyes reaching emmetropia, mean change in best-corrected distance visual acuity and the proportion of eyes with post-surgical complications, including corneal oedema and posterior capsule opacification. Results were adjusted for multiple comparisons for primary and secondary objectives. Results: Data from 811 phacoemulsification cataract surgery and 496 femtosecond laser-assisted cataract surgery procedures were analysed. Mean cumulative dissipated energy was significantly lower for femtosecond laser-assisted cataract surgery (6.5 percent-seconds) than for phacoemulsification cataract surgery (14.3 percent-seconds; p < 0.0001) procedures. More femtosecond laser-assisted cataract surgery (81.2%) procedures achieved emmetropia (⩽ 0.5 dioptre) than did phacoemulsification cataract surgery (73.5%) procedures, although this difference was not statistically significant. Mean change in best-corrected distance visual acuity and the proportion of eyes with corneal oedema, posterior capsule opacification or other complications were not significantly different between cohorts when adjusted for multiple comparisons. Conclusions: In this single-centre, single-surgeon retrospective electronic medical record database study using divide and conquer technique, femtosecond laser-assisted cataract surgery was associated with significantly lower cumulative dissipated energy when compared to manual phacoemulsification cataract surgery. This supports the hypothesis that femtosecond laser-assisted cataract surgery involves less mechanical trauma, which might lead to more consistent refractive and safety outcomes than manual phacoemulsification cataract surgery, though such outcomes were found to be comparable in this study.

scholarly journals Nd:YAG Capsulotomy after Phacoemulsification in Vitrectomized Eyes: Effects of Pars Plana Vitrectomy on Posterior Capsule Opacification

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Jong Hwa Jun ◽  
Kwang Soo Kim ◽  
Sung Dong Chang
Keyword(s):  
Cataract Surgery ◽  
Medical Records ◽  
Pars Plana Vitrectomy ◽  
Posterior Capsule Opacification ◽  
Posterior Capsule ◽  
Time Interval ◽  
Time Intervals ◽  
Nd:Yag Laser Capsulotomy ◽  
Pars Plana ◽  
Hydrophobic Acrylic

To compare the progression of posterior capsule opacification (PCO) in patients who required Nd:YAG laser capsulotomy following either combined cataract surgery with pars plana vitrectomy (PPV; C-CV), sequential cataract surgery after PPV (S-CV), or cataract surgery alone (CA). The medical records of 321 patients (408 eyes) who underwent Nd:YAG capsulotomy were retrospectively evaluated. The CA group had a significantly longer time interval from cataract surgery to capsulotomy than that of both the CV group(P=0.006)and the S-CV(P=0.013)and C-CV(P=0.042)subgroups when age-matched comparisons were used. CV patients who implanted a hydrophobic acrylic IOL had shorter time intervals than those of CA patients(P=0.028). CV patients had larger hazard of earlier capsulotomy than CA patients (hazard ratio (HR) = 1.337; 95% confidence interval (CI) 1.100–1.625;P=0.004). C-CV and S-CV patients both had larger hazard than CA patients in earlier capsulotomy (HR=1.304; 95%CI=1.007–1.688;P=0.044,HR=1.361; 95%  CI=1.084–1.709;P=0.008, resp.). PCO progresses more rapidly in patients undergoing combined or sequential cataract surgery and PPV than in patients undergoing CA.

Posterior capsule opacification after cataract surgery in patients with diabetes mellitus

2006 ◽  
Vol 32 (7) ◽  
pp. 1184-1187 ◽  
Author(s):  
Yoko Ebihara ◽  
Satoshi Kato ◽  
Tetsuro Oshika ◽  
Mayumi Yoshizaki ◽  
Gentaro Sugita
Keyword(s):  
Diabetes Mellitus ◽  
Cataract Surgery ◽  
Posterior Capsule Opacification ◽  
Posterior Capsule ◽  
Patients With Diabetes

scholarly journals Early-Onset Posterior Capsule Opacification: Incidence, Severity, and Risk Factors

2021 ◽  
Author(s):  
Xiaoxun Gu ◽  
Xiaoyun Chen ◽  
Guangming Jin ◽  
Lanhua Wang ◽  
Enen Zhang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Early Onset ◽  
Posterior Capsule Opacification ◽  
Posterior Capsule
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