scholarly journals Role of No Hydro Phacoemulsification Technique in Management of Posterior Polar Cataract

2020 ◽  
Vol 3 (10) ◽  
pp. 707-711
Author(s):  
Dr. Gaurav Paranjpe ◽  
Dr. Rohini Sangoram ◽  
Dr. Devika Damle
Keyword(s):  
Cataract Surgery ◽  
Medical Records ◽  
Posterior Capsule ◽  
Corrected Visual Acuity ◽  
Posterior Capsule Rupture ◽  
Technical Modifications ◽  
Capsule Rupture ◽  
Posterior Polar Cataract

    Posterior polar cataracts (PPC) have always been a challenge for cataract surgeons due to their inherently higher propensity for posterior capsule rupture. Over the years, several technical modifications in cataract surgery  have been suggested to enhance safety and reduce the percentage of  posterior capsule rupture rates in these posterior  polar cataracts. This retrospective study  tries to present  the role and  complications of no hydro phacoemulsification technique in management of posterior polar cataract. Aim: To evaluate the role of prehydro phacoemulsification and partial depth phacoemulsification with hydrodelineation in posterior polar cataract (PPC). Method: Medical records of 100 patients with clinical diagnosis of PPC, who underwent pre hydro phacoemulsification and partial depth phacoemulsification with hydrodelineation, were retrospectively reviewed. Results: The incidence of posterior capsule rupture (PCR) was 8% (8/100): 4 cases occurred during epinucleus removal, 3 cases occurred during IOL implantation, and 1 occurred during OVD removal after the implantation of the intraocular lens into the bag. No nucleus piece or lens materials dropped into the vitreous during cataract surgery, and no obvious postoperative complications were found during follow-up. All patients had improved best-corrected visual acuity (BCVA) 1 month postoperatively. Conclusion: Pre hydro phacoemulsification and partial depth phacoemulsification with hydrodelineation help to reduce the incidence of PCR and achieve satisfactory postoperative outcomes.

scholarly journals Application of 25 MHz B-Scan Ultrasonography to Determine the Integrity of the Posterior Capsule in Posterior Polar Cataract

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Yawen Guo ◽  
Chengzhe Lu ◽  
Bin Wu ◽  
Jianmin Gao ◽  
Jun Li ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
The Other ◽  
Posterior Capsule ◽  
Slit Lamp ◽  
Appropriate Treatment ◽  
The Status ◽  
Posterior Capsule Rupture ◽  
Slit Lamp Microscopy ◽  
Capsule Rupture ◽  
Posterior Polar Cataract

Purpose. To report the application of 25 MHz B-scan ultrasonography (MHzB) to determine the integrity of the posterior capsule (PC) in posterior polar cataract (PPC). Methods. Patients with whom PPC was clinically diagnosed using slit lamp microscopy who underwent 25 MHzB before phacoemulsification were retrospectively reviewed. The status of the PC was determined by 25 MHzB before phacoemulsification and confirmed during cataract surgery. Results. In total, 21 eyes in 14 clinically diagnosed PPC patients were enrolled in this study. Out of 25 MHzB images, 19 PCs were found to be intact, while 2 showed dehiscence before cataract surgery. During phacoemulsification, 17 PCs were observed to be intact, while 4 PCs showed posterior capsule rupture (PCR). These 4 PCR cases included the above 2 eyes, in which preexisting dehiscence was detected by 25 MHzB. The other 2 PCR cases showed high reflectivity between high echoes in posterior opacities and the PC, indicating synechia between the PPC and PC. Conclusion. This is the first report to show that 25 MHzB can be used to clearly visualize the status of the PC in PPC. These results, in turn, could be used to select the appropriate treatment and to thereby avoid further complications during PPC surgery.

scholarly journals Clinical outcomes of management of posterior capsule rupture with air bubble techniques

2020 ◽  
Vol 13 (12) ◽  
pp. 2007-2011
Author(s):  
Jongyeop Park ◽  
Jinhyun Kim
Keyword(s):  
Case Series ◽  
Posterior Capsule ◽  
Air Bubbles ◽  
Retrospective Case ◽  
Air Bubble ◽  
Posterior Capsule Rupture ◽  
New Surgical Technique ◽  
Capsule Rupture ◽  
Ophthalmic Viscosurgical Device

AIM: To introduce a new surgical technique, air-bubble technique for the management of posterior capsule rupture (PCR) and to evaluate the safety and efficacy of the technique. METHODS: A retrospective case series analysis of 24 eyes of 24 patients, in which the air bubble technique was used for the management of PCR, was performed. Once PCR occurred, a dispersive ophthalmic viscosurgical device (OVD) was injected into the tear. And small volumes (0.2-0.3 mL) of air bubbles were injected beneath the OVD. The air bubble served as a physical barrier and supported the posterior capsule. RESULTS: After surgery, none of the patients had serious complications during the follow-up period of 1y. Extension of the PCR size occurred in only 2 cases, and additional OVD injection was required only in 3 cases. Air bubbles imparted great stability to the nuclear pieces and the posterior capsule. CONCLUSION: The air-bubble technique may be considered a safe and effective procedure for managing a PCR. It may be of value to the inexperienced cataract surgeon.

Posterior Capsule Rupture during Cataract Surgery in Eyes Receiving Intravitreal anti-VEGF Injections

2020 ◽  
Vol 46 (2) ◽  
pp. 179-184
Author(s):  
D. Claire Miller ◽  
Karen L. Christopher ◽  
Jennifer L. Patnaik ◽  
Anne M. Lynch ◽  
Leonard K. Seibold ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Posterior Capsule ◽  
Anti Vegf ◽  
Posterior Capsule Rupture ◽  
Capsule Rupture

scholarly journals Intraoperative Complications of Cataract Surgery Using Intracameral Illumination in the Elderly over 75 Years

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Yu Jeong Kim ◽  
Su Jin Park ◽  
Jong Yeon Lee ◽  
Dae Yeong Lee ◽  
Dong Heun Nam
Keyword(s):  
Cataract Surgery ◽  
Intraoperative Complications ◽  
Case Series ◽  
The Elderly ◽  
Posterior Capsule ◽  
Anterior Capsule ◽  
Intraoperative Complication ◽  
Surgery Group ◽  
Posterior Capsule Rupture ◽  
Capsule Rupture

Purpose. To evaluate intraoperative complications and utilization of adjunctive devices between microscope and intracameral illuminations during cataract surgery in the elderly over 75 years. Design. A retrospective, consecutive, interventional case series Participants. Two hundred eighty-six eyes of 184 patients older than 75 years who underwent cataract surgery using microscope and intracameral illuminations. Methods. A chart review was performed on an advanced cataract surgery group of 141 consecutive cases in which the intracameral illumination was used and on a standard cataract surgery group of 145 consecutive cases in which the intracameral illumination was not used. Main Outcome Measures. Intraoperative complications (posterior capsule rupture, radial tear of the anterior capsule, dropped nucleus, or sulcus-implanted/sclera-fixated IOL) and utilization of adjunctive devices (pupil expansion device or anterior capsule staining). Results. The frequency of use of the pupil expansion device was lower in the advanced cataract surgery group than that in the standard cataract surgery group (0.7% vs 6.9%; p=0.007). Furthermore, the rates of a posterior capsule rupture and at least one intraoperative complication were lower in the advanced cataract surgery group than those in the standard cataract surgery group (0.7% vs 4.8%; p=0.067) (0.7% vs 7.6%; p=0.004). Conclusions. In the current cohort of patients over 75 years, the rate of intraoperative complications was lower when using the intracameral illumination than that when using the conventional method. Cataract surgery using intracameral illumination would be good option for elderly people.

scholarly journals Risk stratification for posterior capsule rupture and vitreous loss during cataract surgery

Eye ◽  
2009 ◽  
Vol 24 (2) ◽  
pp. 389-390 ◽  
Author(s):  
S Goverdhan ◽  
L Anderson ◽  
A Lockwood ◽  
J Kirwan
Keyword(s):  
Risk Stratification ◽  
Cataract Surgery ◽  
Posterior Capsule ◽  
Vitreous Loss ◽  
Posterior Capsule Rupture ◽  
Capsule Rupture

Short-term outcomes in eyes with posterior capsule rupture during cataract surgery

2003 ◽  
Vol 29 (3) ◽  
pp. 537-541 ◽  
Author(s):  
Fiona M. Chan ◽  
Ranjana Mathur ◽  
Jack J.K. Ku ◽  
Ching Chen ◽  
Siew-Pang Chan ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Posterior Capsule ◽  
Short Term ◽  
Posterior Capsule Rupture ◽  
Capsule Rupture

An anomalous foveal OCT-sign after posterior capsule rupture in cataract surgery: Complicated cataract surgery maculopathy

2020 ◽  
pp. 112067212093766
Author(s):  
Pietro Maria Talli ◽  
Emilio Pedrotti ◽  
Riccardo Sacconi ◽  
Cristina Monterosso ◽  
Luigi Caretti
Keyword(s):  
Cataract Surgery ◽  
Visual Impairment ◽  
Outer Segment ◽  
Posterior Capsule ◽  
Complicated Cataract ◽  
Frequent Event ◽  
Vitreous Loss ◽  
Posterior Capsule Rupture ◽  
Capsule Rupture ◽  
Sd Oct

Purpose: To report a series of novel optical coherence tomography (SD-OCT) foveal abnormalities, that we called “T-sign,” that were noticed after a complicated cataract surgery with posterior capsule rupture and vitreous loss. Methods: Retrospective case series of persistent foveal changes that incurred after anteroposterior vitreo-foveal traction secondary to phacoemulsification in presence of posterior capsule rupture. Results: The study included three eyes of three patients that incurred in complicated cataract surgery and intraoperative vitreo-foveal traction. During 8-month follow-up period peculiar abnormalities in fundus examination and in OCT scans were reported in all cases. Conclusion: Phacoemulsification in presence of posterior capsule rupture could induce a vitreo-foveal strain that could be transmitted to the cone outer segment tips (COST line) and inner–outer segment (IS/OS) junction. This focal stress is liable for “T-sign,” a persistent SD-OCT abnormality that induce a visual impairment and a slight metamorphopsia in the fixation point. Summary statement All over the world, more than 9.5 million cataract surgeries are completed each year.1 During surgery, many intraoperative complications could occur, and capsule rupture with vitreous loss is a frequent event. Phacoemulsification in presence of a wide posterior capsule rupture and vitreo-macular adhesion could induce a typical modification of the foveal structure and a permanent visual impairment.

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