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Assessment of intraoperative events during surgery on posterior polar cataracts using intraoperative optical coherence tomography

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First Author: A.Pujari INDIA

Co Author(s):    N. Sharma                    

Abstract Details

Purpose:

To describe the changes along nucleo‑epinuclear and the opacity‑capsular junction during hydrodelineation and the entire period of phacoemulsification using intraoperative optical coherence tomography (iOCT).

Setting:

Dr. R. P. Centre, AIIMS, New Delhi. India. Design: Prospective interventional study.

Methods:

Methods: A total of 12 eyes of 12 patients with clinically confirmed posterior polar cataract, who underwent cataract surgery by a single surgeon under the direct guidance of iOCT. The changes along nucleo‑epinuclear junction and opacity‑capsular junction during/following hydrodelineation and the changes along the opacity‑capsular junction following nucleus removal, capsular changes before the opacity removal, and its dynamic changes throughout the surgical procedure were studied.

Results:

Results: The mean age of patients was 48.25 ± 7.89 years. With regular hydrodelineation, optimal separation of the nucleus‑epinuclear layer was evident in 11 patients. Once a golden ring is achieved through the hydro procedure, then repeated attempts can be performed within it to decrease the chances of capsular damage. Fracture of the posterior opacity with tension over the underlying capsule (n = 1), inadvertent hydro dissection while performing hydrodelineation (n = 1), continuous posterior capsular billowing (n = 2), and posterior capsular ruptures (n = 2) were encountered in this observation with even well‑judged surgical maneuvering.

Conclusions:

iOCT provides a better understanding of real‑time changes along different layers of the human lens during posterior polar cataract surgery. The observations obtained here are likely to help in minimizing inadvertent complications in the future.

Financial Disclosure:

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