RETROSPECTIVE STUDY OF COMPARISON OF COMPLICATIONS OF PAEDIATRIC CATARACT SURGERY WITH CHANGE IN TECHNIQUE OF SURGERY DURING PAST 3 YEARS IN NMCH PATNA

2021 ◽  
pp. 72-73
Author(s):  
Dhananjay Prasad ◽  
Atul Kumar Anand ◽  
Rajesh Kumar Tiwary
Keyword(s):  
Retrospective Study ◽  
Postoperative Complications ◽  
Cataract Surgery ◽  
Intraocular Lens ◽  
Economic Burden ◽  
Visual Outcome ◽  
Iol Implantation ◽  
Paediatric Cataract

PURPOSE: To study the comparative pattern of postoperative complications following cataract surgery with intraocular lens (IOL) implantation in pediatric eyes with different technique of surgery done during past 3 years. This study helps reducing the complication and improves the visual outcome and economic burden of patient. Objectives: To study the comparative pattern of postoperative complications following cataract surgery with intraocular lens (IOL) implantation in pediatric eyes with different technique of surgery done during past 3 years. This study helps reducing the complication and improves the visual outcome and economical burden of patient.

scholarly journals Prognostic Factors for Low Visual Acuity after Cataract Surgery with Vitreous Loss

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Michael Mimouni ◽  
Michal Schaap-Fogler ◽  
Philip Polkinghorne ◽  
Gilad Rabina ◽  
Rita Ehrlich
Keyword(s):  
Visual Acuity ◽  
Prognostic Factors ◽  
Cataract Surgery ◽  
Intraocular Lens ◽  
Axial Length ◽  
Visual Outcome ◽  
Multivariable Logistic Regression Analysis ◽  
Iol Implantation ◽  
Secondary Iol Implantation ◽  
Vitreous Loss

Purpose. The purpose of this study is to find prognostic factors associated with low visual acuity in patients experiencing vitreous loss during cataract surgery. Methods. A retrospective, noncomparative, interventional, case study of patients experiencing vitreous loss during cataract surgery. Data collected included demographics, best corrected visual acuity (BCVA), axial length (AL), presence of ocular comorbidity affecting central vision, timing of intraocular lens (IOL) implantation, position of the implanted lens, and the presence of corneal sutures. Low visual outcome was defined as BCVA < 20/40. Results. Overall, 179 patients (60.3% males) with a mean age of 73 ± 12 years and axial length of 23.5 ± 1.3 mm with a mean follow-up of 12 ± 13 months were included. In multivariable logistic regression analysis, low visual outcome was independently associated with persisting postoperative complications (OR 6.25, 95% CI 1.378–30.9), preexisting ocular comorbidities (OR 4.45, 95% CI 1.1–18.00), and secondary intraocular lens (IOL) implant (OR 10.36, 95% CI 1.8–60.00). Conversely, pars plana vitrectomy (PPV) for dislocated fragments of lens material, age > 70 years, gender, axial length, degree of surgeon, corneal suturing, and anterior chamber lens implantation were not found to have significant associations with low visual outcomes ( P > 0.05 ). Conclusions. Low visual outcome after vitreous loss during cataract surgery was associated with ocular comorbidities, secondary IOL implantation, development of cystoid macular edema, and additional surgical complications.

Visual and Surgical Outcome of Phacoemulsification and Intraocular Lens (IOL) Implantation in Patients with Retinitis Pigmentosa

2021 ◽  
Vol 8 (14) ◽  
pp. 861-865
Author(s):  
Sunil Kumar ◽  
Aanchal Priya ◽  
Shilpi Dubey ◽  
Seema Singh
Keyword(s):  
Postoperative Complications ◽  
Retinitis Pigmentosa ◽  
Cataract Surgery ◽  
Intraocular Lens ◽  
Surgical Outcome ◽  
Visual Field Loss ◽  
Cystoid Macular Oedema ◽  
Posterior Capsular Opacification ◽  
P Value ◽  
Iol Implantation

BACKGROUND Retinitis pigmentosa is a group of hereditary disorders characterised by difficulty of seeing at night, bony spicule pigmentation in mid retinal periphery, progressive visual field loss and abnormal electroretinogram (ERG) responses. Cataract surgery in patients with retinitis pigmentosa is associated with poor visual outcome with higher incidence of intraoperative and postoperative complications. This study was done to find the visual and surgical outcome of phacoemulsification and intraocular lens (IOL) implantation in patients with retinitis pigmentosa. METHODS This was a retrospective, non-comparative, observational study done at Regional Institute of Ophthalmology, RIMS Ranchi, India. Consecutive patients of retinitis pigmentosa who underwent phacoemulsification and IOL implantation between July 2015 to December 2019 were retrospectively analysed. Intraoperative and postoperative complications, visual and refractive outcomes were analysed. RESULTS Fifty six eyes of 48 patients (29 male, 19 female) with mean age 46.62 ± 8.45 years were included in study. Mean follow up was 17.92 ± 10.62 months. The types of cataract were posterior subcapsular in 30.35 %, cortical in 14.2 %, mixed in 51.8 % and nuclear sclerosis in 3.5 % of eyes. Intraoperative posterior capsular rent (PCR) was noted in 2 eyes (3.57 %) and zonular dehiscence in 3 eyes (35.35 %). Preoperative mean log minimum angle of resolution best corrected visual acuity (MARBCVA) was 1.45 ± 0.49 which improved to 1.24 ± 0.28 postoperatively at 4 weeks (P-value < 0.05). Postoperatively, vision improved in 46 (82.14 %) eyes, unchanged in 7 (12.5 %) eyes and worsened in 3 (5.35 %) eyes. Postoperative cystoid macular oedema (CME) was noted in 5 eyes (9.07 %). Significant posterior capsular opacification (PCO) was noted in 15 eyes (26.78 %) and anterior capsular phimosis was noted in 3 eyes (5.35 %). CONCLUSIONS Cataract surgery improves vision in most of the patients with retinitis pigmentosa. The incidence of PCR, zonular dehiscence, CME, PCO and anterior capsular phimosis is higher in these patients. KEYWORDS Retinitis Pigmentosa, Cataract, Capsular Phimosis

scholarly journals Cataract Surgery with Intraocular Lens Implantation in Juvenile Idiopathic Arthritis-Associated Uveitis: Outcomes in the Era of Biological Therapy

2021 ◽  
Vol 10 (11) ◽  
pp. 2437
Author(s):  
Elena Bolletta ◽  
Marco Coassin ◽  
Danilo Iannetta ◽  
Valentina Mastrofilippo ◽  
Raffaella Aldigeri ◽  
...  
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Cataract Surgery ◽  
Intraocular Lens ◽  
Immunosuppressive Treatment ◽  
Group Versus ◽  
Visual Outcome ◽  
Biological Drugs ◽  
Systemic Complications ◽  
Iol Implantation ◽  
Biological Group

This study compared the outcomes of cataract surgery with intraocular lens (IOL) implantation in patients with juvenile idiopathic arthritis (JIA)-associated chronic anterior uveitis treated with antimetabolite drugs and systemic corticosteroids (Non-Biological Group) versus patients treated with antimetabolites and biological drugs (Biological Group). A cohort of patients with cataract in JIA-associated uveitis undergoing phacoemulsification with IOL implantation was retrospectively evaluated. The main outcome was a change in corrected distance visual acuity (CDVA) in the two groups. Ocular and systemic complications were also recorded. The data were collected preoperatively and at 1, 12, and 48 months after surgery. Thirty-two eyes of 24 children were included: 10 eyes in the Non-Biological Group and 22 eyes in the Biological Group. The mean CDVA improved from 1.19 ± 0.72 logMAR preoperatively to 0.98 ± 0.97 logMAR at 48 months (p = 0.45) in the Non-Biological Group and from 1.55 ± 0.91 logMAR preoperatively to 0.57 ± 0.83 logMAR at 48 months (p = 0.001) in the Biological Group. The postoperative complications, including synechiae, cyclitic membrane, IOL explantation, glaucoma, and macular edema, were not statistically different between the two groups. An immunosuppressive treatment with biological drugs can improve the visual outcome after cataract surgery in patients with JIA-associated uveitis, but it does not significantly reduce postoperative ocular complications.

scholarly journals A COMPARISION OF POSTERIOR CAPSULAR OPACITY FORMATION UPTO 1 YEAR IN PATIENTS WITH SMALL INCISION CATARACT SURGERY WITH FOLDABLE INTRAOCULAR LENS AND PHACOEMULSIFICATION WITH THE SAME INTRAOCULAR LENS

2020 ◽  
pp. 173-176
Author(s):  
Kinjal Rathod ◽  
Kinjal Trivedi ◽  
Snehal Nayi ◽  
Somesh Aggarwal
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Intraocular Lens ◽  
Nd:Yag Laser ◽  
Visual Outcome ◽  
Posterior Capsular Opacification ◽  
P Value ◽  
Small Incision Cataract Surgery ◽  
Common Procedure ◽  
Age Related

Introduction: Cataract is most common cause of curable blindness worldwide and cataract surgery is most common procedure performed in ophthalmology. Posterior capsular opacification (PCO) is most common complication after cataract surgery which is usually treated with Neodymium-doped: Yttrium Garnet (Nd:YAG) laser posterior capsulotomy or occasionally with a surgical capsulotomy. The incidence and severity of PCO correlates to the type of surgical technique, IOL optic edge designs and IOL materials. Material and Methods: 70 eyes of 64 patients operated for age related cataract were studied in this prospective interventional study. Phacoemulsification was done in 35 eyes and SICS in 35 eyes with hydrophobic single piece biconvex foldable intraocular lens. Patients were followed up at 1, 3, 6, 9 and 12 months for the development of PCO. Clinically significant PCO (loss of 2 or more lines of Snellen’s visual acuity chart) was treated with Nd:YAG laser capsulotomy. Results: The overall incidence of PCO was 22.85%. Amongst the patients who developed PCO, SICS and phacoemulsification was performed in 62.5% and 37.5% patients respectively. Result was statistically significant with p value <0.05 using z test. On first postoperative day, patients operated with phacoemulsification had better visual acuity than SICS. Conclusion: Phacoemulsification can provide early and better visual outcome than SICS and has lower incidence of PCO formation which may be due to difference in irrigation and aspiration and less disruption of blood aqueous barrier than SICS. PCO can be reduced by atraumatic surgery and thorough cortical clean up and capsular polishing.

scholarly journals Evolution of cataract surgery: Smaller incision - less complications

2012 ◽  
Vol 69 (5) ◽  
pp. 385-388 ◽  
Author(s):  
Vladimir Draganic ◽  
Miroslav Vukosavljevic ◽  
Milorad Milivojevic ◽  
Mirko Resan ◽  
Nenad Petrovic
Keyword(s):  
Cataract Surgery ◽  
Surgical Techniques ◽  
Visual Outcome ◽  
Cataract Extraction ◽  
Extracapsular Cataract Extraction ◽  
Corneal Incision ◽  
Visual Rehabilitation ◽  
Operative Trauma ◽  
Iol Implantation

Background/Aim. Cataract surgery has become one of the safest procedures in medicine thanks to advances in technology and surgical techniques. Although minimal, we still witness different complications. The aim of this study was to compare visual outcome and complication rate in different techniques of cataract surgery, ie in cataract surgeries with various corneal incision width. Methods. The study included 3,457 consecutive patients, ie 4,670 eyes that had undergone cataract surgery. The used surgical techniques were: extracapsular cataract extraction, phacoemulsification/ forceps IOL implantation, phacoemulsification/ injector IOL implantation, microincision cataract surgery (MICS). Patient follow up was 6 months. Patients were evaluated for: visual aquity, corneal astigmatism, cellular reaction in the anterior chamber, IOL position. Results. Uncorrected visual aquity 30 days postoperatively was ? 0.5 in 30% of the eyes - ECCE; 54.7% of the eyes - phacoemulsification/forceps IOL implantation; 63.0% of the eyes - phacoemulsification/injector IOL implantation; 5/8 of the eyes - MICS. Endophthalmitis was detected in 0.15% of the eyes - ECCE and 0.1% of the eyes - phacoemulsification/forceps IOL implantation. In eyes with phacoemulsification/injector IOL implantation or microincision cataract surgery (MICS) there were no cases of endophthalmitis. After a 6-month period intraocular lens were dislocated in 7.2% of the eyes - ECCE, and 0.6% of the eyes - phacoemulsification/PMMA IOL. There was no IOL dislocation in other surgical techniques. Conclusion. Shorter corneal incision implies less complications, less operative trauma, faster visual rehabilitation and better visual outcome.

scholarly journals Cataract Surgery following Sequential Myopic and Hyperopic LASIK

2018 ◽  
Vol 9 (2) ◽  
pp. 264-268
Author(s):  
Tao Ming Thomas Chia ◽  
Hoon C. Jung
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lens ◽  
Calculation Method ◽  
Cataract Extraction ◽  
Power Calculation ◽  
Iol Implantation ◽  
Patient Dissatisfaction ◽  
Iol Power Calculation ◽  
Iol Power

We report a case of patient dissatisfaction after sequential myopic and hyperopic LASIK in the same eye. We discuss the course of management for this patient involving eventual cataract extraction and intraocular lens (IOL) implantation with attention to the IOL power calculation method used.

IOLMaster® 500 and Integration of the Holladay 2 Formula for Intraocular Lens Calculations

2011 ◽  
Vol 05 (02) ◽  
pp. 134 ◽  
Author(s):  
Shareef Mahdavi ◽  
Jack Holladay ◽  
◽  
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lens ◽  
Visual Outcome ◽  
Intraocular Lens Calculations ◽  
Intraocular Lens Calculation

The use of advanced formulas to improve the accuracy of cataract surgery has been a process of ongoing improvement since the 1980s. Today’s leading formula – Holladay 2 – has now been added directly to the IOLMaster®500 device (Carl Zeiss Meditec AG). This will allow a much larger group of surgeons to access the latest formula and should improve both intraocular lens calculation and the resulting visual outcome.

scholarly journals Cataract Surgery with or without Intraocular Lens Implantation in Pediatric Uveitis: A Systematic Review with Meta-Analyses

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Diana Chabané Schmidt ◽  
Moug Al-Bakri ◽  
Asrin Rasul ◽  
Regitze Bangsgaard ◽  
Yousif Subhi ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Intraocular Lens ◽  
Complication Rates ◽  
Visual Axis ◽  
Iol Implantation ◽  
Pediatric Uveitis ◽  
Aphakic Eyes ◽  
Meta Analyses ◽  
Modern Era

Purpose. To systematically review the results of comparative studies of modern cataract surgery in pediatric uveitis with or without intraocular lens (IOL) implantation and to perform comparative meta-analyses to compare visual acuity outcomes and complication rates. Methods. On 12 November 2020, we systematically searched the Cochrane Central, PubMed/MEDLINE, EMBASE, ClinicalTrials.gov, and all affiliated databases of the Web of Science. Two authors independently reviewed studies and extracted data. Studies were reviewed qualitatively in text and quantitatively with meta-analyses. Outcome measures were preoperative and postoperative best-corrected visual acuity (BCVA), inflammation control, and rates of postoperative complications. Results. Ten studies of 288 eyes were eligible for review of which the majority were eyes with juvenile idiopathic arthritis-associated uveitis. Summary estimates revealed that the BCVA was better in pseudophakic eyes vs. aphakic eyes (1-year postoperative: −0.23 logMAR, 95% CI: −0.43 to −0.03 logMAR, P = 0.027 ; 5-year postoperative: −0.35 logMAR, 95% CI: −0.51 to −0.18 logMAR, P = 0.000036 ). Pseudophakic eyes had more visual axis opacification (OR 6.76, 95% CI: 2.73 to 16.8, P = 0.000036 ) and less hypotony (OR 0.19, 95% CI: 0.04 to 0.95, P = 0.044 ). Conclusions. In modern era cataract surgery on eyes with pediatric uveitis with IOL implantation leads to satisfactory and superior visual outcomes and no differences in complication rates apart from an increased prevalence of visual axis opacification and a decreased prevalence of hypotony when compared to aphakia. However, limitations of the retrospective design and the presence of selection bias necessitate a careful interpretation.

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