Posters

Primary surgical secondary cataract prevention: a combi-method

Poster Details

First Author: J.Novak CZECH REPUBLIC

Co Author(s):                        

Abstract Details

Purpose:

Secondary cataract is treated as the most frequent serious late complications in especially refractive phaco surgery when the patients overlive some decades after. The best prevention is primery combination of all recpectable todays methods.

Setting:

Department of Ophthalmology, Regional Hospital and University of Pardubice, Czech Republic

Methods:

In fifteen eyes of younger patients (48-60years)with cataract or CLE, the following preventive methods during US-phaco surgery (bimanual I/A) were combined: 1. 4,5mm CCC (for better IOL covering), 2. 360deg Anterior-LECs removal with standard one-hole (0,3mm) aspirating handpiece (prevention of fibrosis), 3. 360deg. Equatorial-LECs aspiration with 5-holes (0,1mm) aspirating canule (prevention of proliferation), 4. Full Dream-LECs polishing from posterior capsule with 5-holes canule (prevention of the growth of Elschnig pearls behind IOL), 5. PCCC after staining under air (without damage of anterior hyaloid membrane), 6. Tension ring implantation (to ensure the round PCCC end contact of capsule with square edge)

Results:

We have found normal OCT-anatomy of macular region in all eyes before and 1day, 7days and 6weeks after surgery. In mentioned group we have observed no substantial surgical complication during surgery. One damage of TR inside the injector led to use of manual TR implantation, which is more gentle. Time of surgery was in average 18 minutes (minimum 14 - maximum 30). The longest single method was equatorial polishing (average = 6 min.) and PCCC (average = 5 min.). BCVA before varied from 0,6 to 1,25, 3 months after surgery 1,0-1,5 in all cases.

Conclusions:

The COMBI-method used for prevention of secondary cataract is a safe but time consumpting and expensive method, well-founded. especially for younger patients under 60.

Financial Disclosure:

None