Ten‐year audit of posterior capsule tear complication rates and visual outcomes following phacoemulsification

2019 ◽  
Author(s):  
Sarmad Akkach ◽  
Harry Yip ◽  
Robin Meusemann
Keyword(s):  
Posterior Capsule ◽  
Complication Rates ◽  
Visual Outcomes ◽  
Posterior Capsule Tear

scholarly journals Visual Outcomes and Intraoperative Complication Rates of Phacoemulsification Cataract Surgery by Third Year Ophthalmology Residents in the UP-Philippine General Hospital

2019 ◽  
Vol 53 (4) ◽  
Author(s):  
Richard C. Kho ◽  
Maria Angelica DF. Villano
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
General Hospital ◽  
Intraoperative Complications ◽  
The Philippines ◽  
Complication Rates ◽  
Intraoperative Complication ◽  
Visual Outcomes ◽  
Significant Difference ◽  
Vitreous Loss

Background. Phacoemulsification is the most important cataract surgical procedure performed by ophthalmology residents. There is an increasing and consistent trend in international studies on decreased complication rates and more efficient surgical techniques with more surgeries performed. The data collected from this study can be used to quantitatively assess the cataract surgery training of Ophthalmology residents in the country and can help to improve the quality of cataract surgeries taught and performed in the training programs. Objectives. To analyze outcomes of phacoemulsification cataract surgeries and to determine the intraoperative complication rates of third-year residents of the University of the Philippines - Philippine General Hospital (UP-PGH). Methods. Retrospective chart review of phacoemulsification cases done by eight third-year ophthalmology residents at the UP-PGH from January 1 to December 31, 2017. Outcomes measured included postoperative best corrected visual acuity (BCVA), intraoperative complications (posterior capsular rent and vitreous loss), and adjusted phacoemulsification times (total phacoemulsification time multiplied by phacoemulsification power used). Results. Four hundred ninety-two (492) cases were analyzed. Postoperative mean BCVA was 20/25. There were no significant differences in visual acuity outcomes over the course of training. Intraoperative complications occurred in 33 cases, with fewer cases with posterior capsule rent and vitreous loss later in training after the first 50 cases. There was a downward trend of adjusted phacoemulsification time throughout training, with a significant difference between the first 50 and 100 cases. Conclusion. Good visual outcomes are achievable throughout the resident’s phacoemulsification learning curve. Surgical competency in phacoemulsification, as measured by complication rates and phacoemulsification efficiency, still improves significantly with an increasing number of cases and experience beyond the first 100 cases.

Modification of the Aspiration Port to Aid OVD Removal and Prevent Posterior Capsule Tear

2001 ◽  
Vol 27 (3) ◽  
pp. 341 ◽  
Author(s):  
Vijay K Dada ◽  
Namrata Sharma ◽  
Mayank S Pangtey ◽  
Tanuj Dada
Keyword(s):  
Posterior Capsule ◽  
Posterior Capsule Tear

scholarly journals Comparison of Diathermic high-frequency capsulorhexis and Femtosecond laser-assisted capsulorrhexis in white cataract surgery

2021 ◽  
Author(s):  
Licheng Fan ◽  
Liansheng Liu ◽  
Yanfeng Zeng ◽  
Haiyan Tian
Keyword(s):  
Femtosecond Laser ◽  
Prospective Study ◽  
Cataract Surgery ◽  
Surgical Procedures ◽  
High Frequency ◽  
Posterior Capsule ◽  
Anterior Capsule ◽  
Frequency Group ◽  
Posterior Capsule Tear ◽  
Post Operation

Abstract Aim: To compare the integrity, roundness and diameter of the capsulotomy in the white cataract between femtosecond laser assisted capsulotomy and high-frequency capsulorhexis.Methods: The prospective study included 32 patients with white-nuclear cataracts, 16 of whom underwent femtosecond capsulorhexis and another 16 underwent diathermic high-frequency capsulorhexis. The integrity roundness and diameter of the capsulorhexis post-operation were compared.Results: Femtosecond group obtained 6 cases(37.5%)of complete capsular. No anterior capsule tear occurred. Diathermy high-frequency achieved continuous complete capsulor in 3 eyes(18.75%) and anterior capsule was teared in 13 eyes(81.25%). The femtosecond group has a mean capsular diameter of 5.4 mm, and the diathermic high-frequency group has an average capsular diameter of 6 mm. No posterior capsule tear occurred in both surgical procedures. Conclusions: Femtosecond laser-assisted cataract surgery can achieve high capsulor integrity and stable capsulorhexis diameter. Compared with the diathermic high-frequency capsulorhexis, the frequency of injecting the viscoelastic agent was reduced, and the tear of the capsule was less likely to occur. The continuous complete capsular(CCC) by femtosecond laser is more round, more complete ,more controllable and smoother than diathermy high-frequency(DHC).

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