scholarly journals Special Cases in Cataract Surgery

2021 ◽  
Author(s):  
Minghui Deng ◽  
Song Chen ◽  
Xiaogang Wang

During phacoemulsification for cataracts, the surgeon may encounter various challenges and should therefore be trained to handle them. This chapter will share an example of clinical cases encountered by the author in clinical practice, which mainly includes the successful implantation of a trifocal intraocular lens in the capsular bag after posterior capsular tear during posterior polar cataract surgery as well as cataract surgery design after corneal refractive surgery, shrinkage, and treatment of capsular opening in patients with retinitis pigmentosa after cataract surgery to provide a reference for clinicians.


Author(s):  
Raffaele Nuzzi ◽  
Alessandro Rossi

AbstractBecause the popularity of corneal refractive surgery has been increasing throughout the last 25 years, many authors have thought to apply optical coherence tomography (OCT) to the anterior segment (AS-OCT); by revising the instrumentation needed and slightly improve the technique, it has become an element of vital importance in order to ensure a complete and exhaustive pre- and postsurgical evaluation. Many applications of OCT have been recently developed—mostly in cataract surgery due to the increasing numbers—such as chamber biometry, which is used in a preoperative stage to determine the details of IOL implantation, and lens evaluation. The aim of this review is to assess the applications of anterior segment OCT in dislocated IOL and/or capsular bag exchange surgery with scleral sutureless fixated intraocular lens and monitoring of possible postoperative complications.





Medicina ◽  
2021 ◽  
Vol 57 (1) ◽  
pp. 35
Author(s):  
Juris Vanags ◽  
Renārs Erts ◽  
Guna Laganovska

Background and objectives: To evaluate anterior capsule opening (ACO) contraction and late intraocular lens (IOL) dislocation after cataract surgery in patients with weak or partially absent zonular support and assess methods of reducing these complications. Materials and methods: For this prospective study, we enlisted cataract surgery patients in our hospital with preoperative diagnoses of weak zonules. All patients received phacoemulsification surgery with implantation of a hydrophobic acrylic IOL and capsular tension ring (CTR). ACO reductions were measured for six months after enrolment. Data on late IOL dislocations were collected five years after enrolment of the last patient. Results: Fifty-three patients were enrolled from 2011 to 2015. Over the six-month active follow-up period, ACO area reduction was 23% in patients receiving CTRs of 11 mm diameter and 8% for patients with CTRs of 12 mm, with an overall mean of 15% reduction. Five years after the last patient was enrolled, seven patients (13%) had experienced late IOL-CTR-capsular bag dislocation. For these patients, the mean ACO reduction in the first six months of follow-up was 33%, including for those who had received neodymium-doped yttrium aluminum garnet (Nd: YAG) anterior capsulotomies. Conclusion: Use of hydrophobic acrylic lenses and CTR reduces ACO contraction, with rates comparable to those after cataract surgery without ocular comorbidity. Our patients experienced a relatively high rate of late IOL-CTR-capsular bag dislocation. However, dislocated complexes were easily repositioned and few patients required IOL exchange. Frequent visits are warranted to promptly detect late complications of cataract surgery in patients with weak zonular support.



2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Rosario Cobo-Soriano ◽  
Julio Ortega-Usobiaga ◽  
Beatriz Rodríguez-Gutiérrez ◽  
Víctor Tejerina ◽  
Fernando Llovet ◽  
...  






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