Lens decompression technique for prevention of intraoperative complications during phacoemulsification of intumescent cataract.

Abstract:

PURPOSE:To evaluate intraoperative complications during phacoemulsification of intumescent cataract using lens decompression technique. METHODS:Participants with intumescent cataract scheduled for phacoemulsification were recruited and divided into two groups. In both groups, after the anterior capsule was stained with trypan blue, the anterior chamber was filled peripherally with a dispersive ophthalmic viscosurgical device (OVD) followed centrally by a higher viscosity cohesive OVD (Healon GV). In Group 2, a 25-gauge needle was then inserted into the lens center and liquid cortex aspirated by pulling back on the syringe plunger. The outcomes measured were the incidence of capsular radial tears and the incidence of conversion to extracapsular cataract extraction (ECCE). RESULTS:In Group 1 (20 eyes), capsular radial tears occurred in four eyes, and in two eyes, the procedure had to be converted to ECCE. In Group 2 (20 eyes), no capsular radial tears or conversion to ECCE was reported. CONCLUSION:Lens decompression technique reduced the risk of capsular radial tears and conversion to ECCE during phacoemulsification of intumescent cataract.

journal_name

Indian J Ophthalmol

authors

Nabil KM

doi

10.4103/ijo.IJO_352_17

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

1436-1439

issue

12

eissn

0301-4738

issn

1998-3689

pii

IndianJOphthalmol_2017_65_12_1436_219845

journal_volume

65

pub_type

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