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Postoperative inflammatory response to phacoemulsification and extracapsular cataract surgery: aqueous flare and cells.

Abstract：

PURPOSE:To compare the postoperative blood-aqueous barrier (BAB) breakdown induced by phacoemulsification with continuous curvilinear capsulorhexis (CCC) and by extracapsular cataract extraction (ECCE) with a linear capsulotomy. SETTING:Cataract and Refractive Surgery Research Unit, Department of Ophthalmology, St. Thomas' Hospital, London, United Kingdom. METHODS:Anterior chamber flare and cells were measured preoperatively and 1 day, 1 week, and 1 and 3 months postoperatively in two parallel groups of 31 consecutive cataractous eyes. In Group 1, one surgeon performed ECCE with a linear capsulotomy; in Group 2, a second surgeon performed divide and conquer phacoemulsification with CCC. The preoperative, intraoperative, and postoperative medication regimen was the same in both groups. RESULTS:Group 2 eyes had significantly lower anterior chamber flare and cell measurements in the first postoperative month than Group 1 eyes (.01 < P < .00001). CONCLUSIONS:Phacoemulsification with CCC induced a less severe BAB breakdown than ECCE with a linear capsulotomy. Phacoemulsification with CCC may be preferable in high-risk eyes such as those with glaucoma, diabetes, or uveitis, which are prone to complications resulting from postoperative BAB breakdown.

journal_name

J Cataract Refract Surg

journal_title

Journal of cataract and refractive surgery

authors

Pande MV,Spalton DJ,Kerr-Muir MG,Marshall J

doi

10.1016/s0886-3350(96)80160-x

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

770-4

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(96)80160-X

journal_volume

22 Suppl 1

pub_type

杂志文章

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