Study of frequency and structure formation of secondary cataract at various types of IOL-posterior capsule interface in long term after cataract surgery

Purpose To describe a new technique for removing residual cortical material adjacent to posterior lens capsule during cataract surgery with the help of cohesive ophthalmic viscosurgical devices. Methods In this technique, if there are still cortical remnants and lens epithelial cells left after the routine irrigation–aspiration and polishing at the final steps of cataract surgery, the capsule is filled to about one-third with a highly viscous cohesive ophthalmic viscosurgical device. Rinsing is performed from the anterior chamber with the water jet directed tangentially to the ophthalmic viscosurgical device bolus and towards the posterior capsule, which creates a turbulence creating a “grindstone effect”. The ophthalmic viscosurgical device bolus transforms into a ball and starts to rotate very quickly within the capsule, grinding away the cortical remnants. Results In the first series of 62 cases, there were no intra-operative or post-operative complications. At day 1 there was no corneal oedema and no hypertension of intraocular pressure. Visual outcomes were good with a mean best corrected distance visual acuity of −0.01 ± 0.11 logMAR. Conclusion This technique appears to be effective and fast in removing persistent cortical remnants from the surface of the posterior capsule, while minimising risks such as capsule aspiration during irrigation/aspiration. There is limited pressure and mechanical force applied on the capsule; the anterior chamber and the corneal endothelium remain safe since the ophthalmic viscosurgical device stays inside the capsular bag to its high cohesiveness and molecular weight. More data on a larger cohort of patients is planned to confirm these results and evaluate long-term effects on posterior capsule opacification.

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Topical Benzyl Alcohol Reduces Cataract Surgery Need: Two Long-Term Double Blind Studies

Journal of Ocular Pharmacology and Therapeutics ◽

10.1089/jop.1987.3.211 ◽

1987 ◽

Vol 3 (3) ◽

pp. 211-225 ◽

Cited By ~ 6

Author(s):

M. TESTA ◽

G. IULIANO ◽

P. MORTON ◽

A. LONGONI

Keyword(s):

Cataract Surgery ◽

Benzyl Alcohol ◽

Double Blind

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Posterior Uveal Effusion after Cataract Surgery

Case Reports in Ophthalmology ◽

10.1159/000510390 ◽

2021 ◽

pp. 62-67

Author(s):

Annegret Abaza ◽

Özlem Dikmetas ◽

Irmingard Neuhann ◽

Faik Gelisken

Keyword(s):

Cataract Surgery ◽

Corticosteroid Therapy ◽

Anterior Segment ◽

Subretinal Fluid ◽

Posterior Pole ◽

Functional Improvement ◽

Long Term Observation ◽

The Right ◽

Uveal Effusion

We report a case of posterior uveal effusion (UE) with a long-term follow-up that has occurred following cataract surgery. A 64-year-old woman presented with diminished vision of the right eye (RE) 3 weeks after an uneventful phacoemulsification and intraocular lens implantation. Complete ophthalmic examination including fluorescein angiography (FA), indocyanine green angiography (ICGA), echography and optical coherence tomography (OCT) were performed. Best corrected visual acuity (BCVA) of the RE was 20/50. Anterior segment and intraocular pressure were unremarkable. OCT revealed prominent folds of the choroid and retina, subretinal fluid and darkening of the choroid with reduced visibility of the choroidal vessels and the scleral border. The left eye (LE) was unremarkable. BCVA of the LE was: 20/20. After topical anti-inflammatory and systemic corticosteroid therapy for 5 months, no morphological change of the macula was seen. The patient was observed without any treatment. Forty-three months after the cataract surgery and 38 months after cessation of the corticosteroid therapy, OCT revealed a normal macular morphology and the BCVA improved to 20/25. Even though rare, UE at the posterior pole may occur after modern cataract surgery. OCT examination is a reliable tool in monitoring the macular morphology. Since morphological and functional improvement can be seen in long-term, observation may be considered for some cases of posterior UE with resistance to the therapy.

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Isoforms of TGF-β in the aqueous humor of patients with pseudoexfoliation syndrome and a possible association with the long-term stability of the capsular bag after cataract surgery

Graefe s Archive for Clinical and Experimental Ophthalmology ◽

10.1007/s00417-017-3724-8 ◽

2017 ◽

Vol 255 (9) ◽

pp. 1763-1769 ◽

Cited By ~ 5

Author(s):

Justus G. Garweg ◽

Souska Zandi ◽

Christin Gerhardt ◽

Isabel B. Pfister

Keyword(s):

Cataract Surgery ◽

Aqueous Humor ◽

Pseudoexfoliation Syndrome ◽

Term Stability ◽

Long Term Stability ◽

Capsular Bag

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PMD40 Comparing the LONG-TERM Costs Associated with Intraocular LENS Selection and ND:YAG Laser Capsulotomy Post-Cataract Surgery: A Cost-Consequence Analysis from a Spanish Healthcare System Perspective

Value in Health ◽

10.1016/j.jval.2020.08.1073 ◽

2020 ◽

Vol 23 ◽

pp. S583

Author(s):

J. Belda ◽

J. Placeres ◽

J.C. Elvira ◽

X. Puig ◽

C. Perez Vives ◽

...

Keyword(s):

Cataract Surgery ◽

Healthcare System ◽

Nd:Yag Laser ◽

System Perspective ◽

Healthcare System Perspective ◽

Consequence Analysis ◽

Nd:Yag Laser Capsulotomy ◽

Cost Consequence ◽

Spanish Healthcare System

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Heads-up 3D eye surgery: Safety outcomes and technological review after 2 years of day-to-day use

European Journal of Ophthalmology ◽

10.1177/11206721211012856 ◽

2021 ◽

pp. 112067212110128

Author(s):

Claudia Del Turco ◽

Giuseppe D’Amico Ricci ◽

Marco Dal Vecchio ◽

Caterina Bogetto ◽

Edoardo Panico ◽

...

Keyword(s):

Cataract Surgery ◽

Case Series ◽

Depth Of Field ◽

Procedural Complication ◽

Long Time ◽

Procedural Complications ◽

Resolution Imaging ◽

Visualization Systems ◽

3D Surgery

Background: 3D heads-up visualization systems are aimed to improve the surgical experience by providing high-resolution imaging. Objective of our study is to analyze, over a long-time span, the grade of satisfaction and safety of day-to-day 3D surgery compared to standard surgery and to investigate the technical distinctiveness between the heads-up systems currently in use. Methods: In this retrospective observational case series. we reviewed all surgical records of our ophthalmology-dedicated operatory rooms since the arrival of 3D heads-up viewing system, in November 2017. In particular, we compared the procedural complications of 3D-equipped operatory room (3DR) with the standard microscope operatory room (2DR). Moreover, a satisfaction questionnaire was administered to those surgeons shifting on both rooms to test their preferences on seven specific parameters (comfort, visibility, image quality, depth perception, simplicity of use, maneuverability and teaching potential). Results: 5483 eye surgeries were considered. 2777 (50.6%) were performed in 3DR and 2706 (49.3%) in 2DR. Procedural complication rate was comparable in 3DR and 2DR, also when considering different subtypes of surgery. Twelve surgeons (100% of our surgery team) participated in our satisfaction survey, expressing highest satisfaction score for 3D when applied in retina surgery. For cataract surgery, 3D scored best in all the parameters except for facility in use and depth of field perception. Conclusion: Long-term day-to-day use of 3D heads-up visualization systems showed its safety and its outstanding teaching potential in all ophthalmic surgical subtypes, with higher surgeons confidence for retina and cataract surgery.

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