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Phacoemulsification cataract with IOL implantation using intraoperative optical coherent tomography in patients with corneal opacifications
Poster Details
First Author: E.Wylęgała POLAND
Co Author(s): D. Dobrowolski A. Nowinska E. Wroblewska Czajka B. Weglarz
Abstract Details
Purpose:
To estimate the usefulness of the intraoperative OCT in real time used for anterior eye segment.
Setting:
Ophthalmology Clinic Medical University of Silesia, Katowice Poland
Methods:
21 patients (21 eyes) with corneal opacification who had undergone phacoemulsification surgery were included in the prospective study. The study group consisted of 8 eyes with postinfectious vascularized scars, 3 eyes with neurotrophic keratopathy, 2 eyes with aniridia keratopathy and 8 eyes with corneal degeneration. BCVA ranged from light perception to 0,1. Surgical microscope real time intraoperative optical coherent tomopgraphy RT-iOCT RESCAN 700 ( Zeiss) was used. OCT technique for visualization of capsular bag and localization of IOL was used during cataract surgery. The patients were followed up on day 1, day 7, 1 month 3 and 6 months postoperatively.
Results:
IOL implantation was possible in 21 (100%). The posterior capsule rupture occurred in 3 eyes (14%). 3 IOL to the sulcus follow anterior vitrectomy were implanted. All patients achieved BCVA improvement. Mean postoperative visual acuity was 0.2
Conclusions:
RT-iOCT microscope allows easier lens implantation in cases of patients with semitransparent corneas.
Financial Disclosure:
NONE