Posters

In-situ nucleo-fractis without nuclear rotation during phacoemulsification in cases of pseudoexfoliation

Poster Details

First Author: M. Mahdy EGYPT

Co Author(s):    M. Eid                    

Abstract Details

Purpose:

The purpose is to assess the safety and frequency of intraoperative complications of phacoemulsification using an in situ nucleo-fractis technique in pseudoexfoliation (PEX) cases.

Setting:

Nile eye center for eye surgeries and Al-hussein University Hospital, Cairo, Egypt

Methods:

This prospective, interventional, noncomparative study included 103 cases of cataract with pseudoexfoliation underwent phacoemulsification with in situ nucleo-fractis using Alcon Infinity machine with Ozil handpeice and Kelman-style 45° phacoemulsification tip.

Results:

Of the 103 cases, 55 males (53.4%) and 48 (46.6%) females, one case developed posterior capsular rupture, and four cases developed zonular dehiscence that was partial in three cases and >180° in one case only. The best corrected visual acuity (BCVA) 4 weeks postoperatively using logMAR notation was as follows: 66 cases (65.1%) had BCVA of 0.30 or better (logMAR notation), and 37 cases (35.9%) had BCVA of 0.48 or less.

Conclusions:

Safe and efficient phacoemulsification with in situ nucleo-fractis without nuclear rotation could be achieved in cases pseudoexfoliation in which zonular weakness is a concern by utilizing the versatility of Kelman style phaco tip to do lateral sweep sculpting and in situ cracking techniques. It prevents zonular stress by avoiding manipulation or rotation of the nucleus in cases.

Financial Disclosure:

NONE