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Complications and contraindications of hydroimplantation technique of foldable intraocular lens

Poster Details

First Author: M.Farouk EGYPT

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Abstract Details

Purpose:

To evaluate the specific intraoperative and postoperative complications of hydroimplantation technique of foldable intraocular lens during phacoemulsification and describe the potential contraindication of this technique.

Setting:

Ophthalmology department Sohag University Hospital, Sohag City, Egypt

Methods:

Prospective randamized comparative study of 142 patients who underwent phacoemulsification for age-related cataract with implantation of foldable intraocular lens (IOL). Patients were assigned to group A or group B. Hydroimplantation without using viscoelastic agent as group 1 (n=73), and viscoimplantation was used in group 2 (n=69) in which the IOL was implanted by the conventional technique using viscoelastive devices The main outcomes were the intaoperative and postoperative complications of the technique. Cases with

Results:

The reduction of endothelial cell density were not statistically significant between the two groups  (P<0.001). The mean IOP 4 hours, one day and 3 days postoperativly were not statistically significant. In cases with posterior capsule rupture (6 in group A and 9 in group B) the size of the rupture increased during implantation in group A only and resulted in more vitreous prolapse.

Conclusions:

Despite that hydroimplantation technique during phacoemulsification is a safe and time saving technique, it is unsafe for cases with rupture posterior capsule which is considered a contraindication.

Financial Disclosure:

None

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