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eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
Bieżący numer Archiwum Filmy Artykuły w druku O czasopiśmie Suplementy Rada naukowa Recenzenci Bazy indeksacyjne Prenumerata Kontakt Zasady publikacji prac Opłaty publikacyjne Standardy etyczne i procedury
Panel Redakcyjny
Zgłaszanie i recenzowanie prac online
SCImago Journal & Country Rank
1/2011
vol. 113
 
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Artykuł oryginalny

Komplikacje w czasie fakoemulsyfikacji u pacjentów z zaćmą biegunową tylną

Ewa Langwińska-Wośko
1
,
Kamil Szulborski
1
,
Karina Broniek-Kowalik
1

  1. Department of Ophthalmology, Medical University of Warsaw
Klinika Oczna 2011, 113 (1): 16-18
Data publikacji online: 2011/04/17
Pełna treść artykułu Pobierz cytowanie
 
Wstęp
The aim of the study was to evaluate the intraoperative complications during phacoemulsification of a posterior polar cataract, especially the risk of posterior capsule rupture.

Materiał i metody
The retrospective evaluation of complications during phacoemulsification of a posterior polar cataract in patients in the Department of Ophthalmology, Medical University of Warsaw from January 2001 to June 2007. The surgical procedures, as well as the implanted IOL type and intraoperative and postoperative complications were evaluated in every case in 2 years’ observations. Best-corrected visual acuity before and 3 months after surgery was evaluated using the standard Snellen chart.

Wyniki
The study group consisted of 16 individuals, 6 women and 10 men in age 21-55 (mean 32.7). 22 eyes were operated on, all using the phacoemulsification method through corneal incision (10 individuals – 1 eye, 6 individuals – both eyes). In all cases, phacoemulsification was performed using a hydrodissection free technique by corneal incision. A posterior capsule rupture was observed in 4 eyes (18%), localized in the central region and caused by changes in the capsula. The mean visual acuity was significantly better after cataract surgery. The best corrected visual acuity (BCVA) was 6/6 in 8 eyes (36%). A BCVA of less than 1.0 was caused by either amblyopia or nystagmus.

Wnioski
Phacoemulsification in patients with posterior polar cataract is associated with a high risk of posterior capsule rupture and potential vitreous loss, which is why this procedure should be performed carefully by senior surgeons using an appropriate, hydrodissection free technique.



Introduction
The aim of the study was to evaluate the intraoperative complications during phacoemulsification of a posterior polar cataract, especially the risk of posterior capsule rupture.

Material and methods
The retrospective evaluation of complications during phacoemulsification of a posterior polar cataract in patients in the Department of Ophthalmology, Medical University of Warsaw from January 2001 to June 2007. The surgical procedures, as well as the implanted IOL type and intraoperative and postoperative complications were evaluated in every case in 2 years’ observations. Best-corrected visual acuity before and 3 months after surgery was evaluated using the standard Snellen chart.

Results
The study group consisted of 16 individuals, 6 women and 10 men in age 21-55 (mean 32.7). 22 eyes were operated on, all using the phacoemulsification method through corneal incision (10 individuals – 1 eye, 6 individuals – both eyes). In all cases, phacoemulsification was performed using a hydrodissection free technique by corneal incision. A posterior capsule rupture was observed in 4 eyes (18%), localized in the central region and caused by changes in the capsula. The mean visual acuity was significantly better after cataract surgery. The best corrected visual acuity (BCVA) was 6/6 in 8 eyes (36%). A BCVA of less than 1.0 was caused by either amblyopia or nystagmus.

Conclusions
Phacoemulsification in patients with posterior polar cataract is associated with a high risk of posterior capsule rupture and potential vitreous loss, which is why this procedure should be performed carefully by senior surgeons using an appropriate, hydrodissection free technique.

słowa kluczowe:

fakoemulsyfikacja, zaćma biegunowa tylna, zaćma wrodzona, przerwanie torebki tylnej

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