Secondary closure of posterior continuous curvilinear capsulorhexis.

Abstract:

PURPOSE:To examine the hypothesis that removing the center of the posterior capsule would prevent posterior capsular opacification (PCO). SETTING:Department of Ophthalmology, University Hospital Antwerp, Belgium. METHODS:A posterior continuous curvilinear capsulorhexis (CCC) was done before intraocular lens (IOL) implantation in eyes at risk for PCO (uveitic, young adult), retinal detachment after neodymium:YAG (Nd:YAG) laser capsulotomy (highly myopic) or for cystoid macular edema (uveitic, diabetic) and in eyes in which the posterior capsule was opaque intraoperatively. The 51 eyes of 40 patients had a follow-up ranging from 6 months to 2 years. RESULTS:Four eyes (8%) developed partial closure of the posterior CCC without vision impairment; 6 eyes (12%) had total closure, of which 2 (4%) had a loss of two or more Snellen lines necessitating an Nd:YAG laser capsulotomy. CONCLUSION:Young adult eyes and eyes with underlying diabetic retinopathy or uveitis are at risk for total closure of the posterior CCC. Only young adult eyes required Nd:YAG laser capsulotomy after the posterior CCC.

authors

Tassignon MJ,De Groot V,Smets RM,Tawab B,Vervecken F

doi

10.1016/s0886-3350(96)80068-x

subject

Has Abstract

pub_date

1996-11-01 00:00:00

pages

1200-5

issue

9

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(96)80068-X

journal_volume

22

pub_type

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