Abstract:
PURPOSE:To compare the incidence of posterior capsule rupture and vitreous loss during phacoemulsification with and without the use of an anterior chamber maintainer (ACM) SETTING: Aristotle University Eye Clinic, Thessaloniki, Greece. METHODS:The surgical records of patients who had phacoemulsification by experienced surgeons over a 2-year period were reviewed. The cases were divided into 2 groups: surgery performed without the use of an ACM (no-ACM group) and surgery performed with the use of an ACM (ACM group). RESULTS:The no-ACM group comprised 231 cases and the ACM group, 312 cases. Posterior capsule rupture occurred in 19 cases (8.22%) and 22 cases (7.05%), respectively. Of the patients with posterior capsule rupture, 6 (31.57%) in the no-ACM group and 16 (72.72%) in the ACM group had vitreous loss and required an anterior vitrectomy; the difference between the 2 groups was statistically significant (P =.03). CONCLUSIONS:The use of an ACM in phacoemulsification provided a consistently deep anterior chamber and approximately the same rate of complications as with a standard technique in the hands of experienced surgeons. However, when posterior capsule rupture occurred, the incidence of vitreous loss was significantly higher in eyes with an ACM.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Androudi S,Brazitikos PD,Papadopoulos NT,Dereklis D,Symeon L,Stangos Ndoi
10.1016/S0886-3350(03)00584-4subject
Has Abstractpub_date
2004-02-01 00:00:00pages
449-52issue
2eissn
0886-3350issn
1873-4502pii
S0886335003005844journal_volume
30pub_type
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journal_title:Journal of cataract and refractive surgery
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journal_title:Journal of cataract and refractive surgery
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journal_title:Journal of cataract and refractive surgery
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journal_title:Journal of cataract and refractive surgery
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2020-12-01 00:00:00
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