Posters

Closed chamber anterior capsulotomy under air tamponade technique in white cataracts

Poster Details

First Author: A.Alsmman EGYPT

Co Author(s): E. Mostafa   K. Sayed   A. Moonier              

Abstract Details

Purpose:

To evaluate the efficacy and safety of closed chamber air bubble capsulotomy in patients with white and intumescent cataracts

Setting:

Sohag Faculty of medicine Sohag University

Methods:

A prospective case series study was performed on 82 eyes of 80 patients with white and intumescent cataract. Needle capsulorhexis under a large air bubble tamponade was done without capsular staining. Efficacy of the technique was assessed intraoperatively by successful completion of capsulorhexis. Safety of the technique was assessed by the occurrence of intraoperative or postoperative complications.

Results:

A total of 82 eyes of 80 patients (43 eyes were males) were enrolled in the study. Mean age was 62.31±8.23y (range 42-86y). Complete capsulorhexis by closed chamber air bubble technique was successful in 75 eyes (91.5%) while in 7 eyes capsulorhexis extension has occurred. In 4 eyes with extension; capsulorhexis has been shifted to the usual technique using a viscoelastic device and CCC (circular curvilinear capsulorhexis) was saved.  Shifting to extracapsular cataract extraction (ECCE) surgery occurred in the remaining 3 eyes as the extension was so far. No intraoperative or postoperative complications have been reported.

Conclusions:

Closed anterior chamber air bubble technique for capsulorhexis is a novel, safe and effective technique to prevent Argantine Flag Sign (AFS) in white and intumescent cataracts. It is also time-saving, cost-effective with less liability of capsulorhexis extension. It is considered a valuable addition to the previously described techniques and the surgeon has to choose the technique that is best suited to him.

Financial Disclosure:

None