Posters
Phacoemulsification in eyes with cataract and pseudoexfoliation syndrome
Poster Details
First Author: S. Cetinkaya TURKEY
Co Author(s): Y. Cetinkaya Z. Dadaci N. Acir
Abstract Details
Purpose:
To evaluate the visual outcomes and intraoperative and postoperative complications of phacoemulsification surgery in patients with cataract and pseudoexfoliation syndrome (PEX) and the usage of proper surgical techniques and appropriate devices intraoperatively.
Setting:
Turkish Red Crescent Hospital, Konya, Turkey
Methods:
Sixty-seven eyes of 53 patients with PEX and cataract who had undergone phacoemulsification and intraocular lens (IOL) implantation surgery were evaluated retrospectively. The mean age was 71.68 ± 9.96 standard deviation (SD) (53–89) years, and there were 24 (45%) males and 29 (55%) females. Nuclear, cortical, posterior subcapsular, and mature cataracts were all represented.
Results:
Nuclear cataract was significantly more common than other types (p = 0.00). The mean preoperative best corrected visual acuity (BCVA) was 0.99 ± 0.30 (SD) (0.40–1.50) logMAR, and the mean postoperative BCVA was 0.32 ± 0.31 (SD) (0.00–1.00) logMAR (p = 0.00). Iris retractors were used in 12 (18%) eyes. Capsular tension ring (CTR) implantation was used in 15 (22%) eyes, it was planned in 8 (12%) and unplanned in 7 (10%). Posterior capsule rupture occurred in 4 (6%) eyes, and vitreous loss occurred in 2 (3%) eyes. Anterior vitrectomy was performed in these 2 eyes. Conversion to extracapsular cataract extraction (ECCE) was needed in 2 (3%) eyes.
Conclusions:
Postoperative visual acuities of patients with cataract and PEX are satisfactory, however, intraoperative and postoperative complications like posterior capsule rupture, vitreous loss, conversion to ECCE, persistent corneal edema, anterior chamber reaction and IOL dislocation may be observed. To avoid these complications, proper surgical techniques and the use of appropriate devices intraoperatively are essential.
Financial Disclosure:
NONE
