Posters

Why break it when you can wash it? Posterior capsule opacification peeling and polishing

Poster Details

First Author: P.Saluja INDIA

Co Author(s):    K. Singh                    

Abstract Details

Purpose:

To assess the effect of surgical peeling and polishing of Posterior Capsule Opacification and to analyse the safety of the procedure.

Setting:

Department of Ophthalmology, Moti Lal Nehru Medical college, Allahabad, Uttar Pradesh, India.

Methods:

A cross-sectional study was conducted on 273 patients who had Posterior capsule opacification(PCO) of Elschnig Pearls variety. These patients underwent surgical peeling and polishing of the posterior capsule opacification. It was done with the help of a bimanual irrigation and aspiration cannula after instilling viscoelastics. We analysed the postoperative vision and complications and followed up the patient for 2 years.

Results:

In the present study, out of 273 patients, 152(55.67%) were male and 121(44.3%) were female. The mean age was 57.5+-11.7 years. In 33 cases we could not approach the posterior capsule due to capsular fibrosis and they were excluded from the study. In the cases that we were able to perform the procedure, best corrected visual acuity(BCVA) improved to 20/20 in 92.3% patients. Aqueous flare was the most common cause of reduced vision. Recurrence of pearls was seen in 13(0.47%)cases. There were no cases of retinal detachment in the study group in a follow up period of 2 years. The mean intraocular pressure(IOP) was between 14 to 17 mmHg. Only 11(0.04%) cases reported a rise in IOP which was not significant (p value<0.05).

Conclusions:

Surgical peeling and polishing of Posterior capsule opacification is a safer alternative for the management of PCO after Refractive Lens Exchange and in cases with High Myopia. Thus, it can prevent complications which are associated with Nd: YAG laser capsulotomy.

Financial Disclosure:

None