scholarly journals Nd:YAG Capsulotomy after Phacoemulsification in Vitrectomized Eyes: Effects of Pars Plana Vitrectomy on Posterior Capsule Opacification

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Jong Hwa Jun ◽  
Kwang Soo Kim ◽  
Sung Dong Chang
Keyword(s):  
Cataract Surgery ◽  
Medical Records ◽  
Pars Plana Vitrectomy ◽  
Posterior Capsule Opacification ◽  
Posterior Capsule ◽  
Time Interval ◽  
Time Intervals ◽  
Nd:Yag Laser Capsulotomy ◽  
Pars Plana ◽  
Hydrophobic Acrylic

To compare the progression of posterior capsule opacification (PCO) in patients who required Nd:YAG laser capsulotomy following either combined cataract surgery with pars plana vitrectomy (PPV; C-CV), sequential cataract surgery after PPV (S-CV), or cataract surgery alone (CA). The medical records of 321 patients (408 eyes) who underwent Nd:YAG capsulotomy were retrospectively evaluated. The CA group had a significantly longer time interval from cataract surgery to capsulotomy than that of both the CV group(P=0.006)and the S-CV(P=0.013)and C-CV(P=0.042)subgroups when age-matched comparisons were used. CV patients who implanted a hydrophobic acrylic IOL had shorter time intervals than those of CA patients(P=0.028). CV patients had larger hazard of earlier capsulotomy than CA patients (hazard ratio (HR) = 1.337; 95% confidence interval (CI) 1.100–1.625;P=0.004). C-CV and S-CV patients both had larger hazard than CA patients in earlier capsulotomy (HR=1.304; 95%CI=1.007–1.688;P=0.044,HR=1.361; 95%  CI=1.084–1.709;P=0.008, resp.). PCO progresses more rapidly in patients undergoing combined or sequential cataract surgery and PPV than in patients undergoing CA.

scholarly journals Incidence and associated factors of posterior capsule opacification in pseudophakic patients at Cipto Mangunkusumo Hospital

2015 ◽  
Vol 24 (3) ◽  
pp. 176-82
Author(s):  
Sita P. Ayuningtyas ◽  
Tjahjono D. Gondhowiardjo
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Nd:Yag Laser ◽  
Cumulative Incidence ◽  
Yttrium Aluminum Garnet ◽  
Posterior Capsule Opacification ◽  
Posterior Capsule ◽  
Related Data ◽  
Included Patient ◽  
Hydrophobic Acrylic

Background: Posterior capsule opacification (PCO) is the most common postoperative consequence of cataract surgery which may cause visual acuity reduction, yet the incidence in Indonesia has not been reported. The objectives of this study were to evaluate three years cumulative incidence of PCO and factors associated with PCO formation at Cipto Mangunkusumo Hospital, Jakarta.Methods: This was a retrospective descriptive study on patients with uneventful senile cataract surgery during year 2010. All related data were retrieved from medical records in year 2013, which included patient demographics, type of surgery, intraocular lens (IOL) characteristics (material, optic edge design and diameter). Moreover, time to first PCO diagnosis (month), and best corrected visual acuity (BCVA) pre-operatively, at time PCO was diagnosed and two weeks after Neodymium-doped yttrium aluminum garnet (Nd:YAG) laser were noted (decimal).Results: A total of 578 eyes (485 patients) were involved in this study. Three years cumulative incidence of the PCO was 8.82% (51 eyes). Phacoemulsification surgery was performed in 496 (85.8%) eyes. The median time to PCO diagnosis was 21 months (range 1 to 34 months), mean of BCVA was 0.50 ± 0.26. Age (<65 and >65 years old) was not associated to PCO. Higher incidence of PCO was found in patients using hydrophilic acrylic IOL (10.7%) than in hydrophobic acrylic (6.2%). After Nd:YAG laser was performed, BCVA was improved to 1.00.Conclusion: Three years cumulative incidence of PCO was 8.82% and there was no defined factor related to PCO formation, but higher percentage of PCO occured in patients using hydrophilic acrylic IOL than in hydrophobic acrylic. 

scholarly journals Clinical Study of Visual Outcome and Complications of Nd:YAG Laser Capsulotomy in Posterior Capsular Opacification Following Small Incision Cataract Surgery at a Tertiary Eye Care Centre in Rural Maharashtra - A Prospective Observational Study

2021 ◽  
Vol 8 (19) ◽  
pp. 1409-1413
Author(s):  
Varsha Ramesh Dhakne ◽  
Sourabh Hanumant Karad ◽  
Samartha Babasaheb Waghambare ◽  
Hanumant Tulshiram Karad ◽  
Uttam Haribhau Nisale ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Nd:Yag Laser ◽  
Visual Outcome ◽  
Posterior Capsule Opacification ◽  
Posterior Capsule ◽  
Posterior Capsular Opacification ◽  
Corrected Visual Acuity ◽  
Nd:Yag Laser Capsulotomy ◽  
Best Corrected Visual Acuity

BACKGROUND Posterior capsule opacification (PCO) is the most common delayed complication of cataract surgery. Nd:YAG (Neodymium yttrium aluminium garnet) laser posterior capsulotomy presents the advantages of a non-invasive, effective, relatively safe technique to manage intact posterior capsule that opacifies postoperatively. With this background we want to study the visual outcome and complications following Nd-YAG laser posterior capsulotomy in posterior capsular opacification following small incision cataract surgery (SICS). METHODS The study includes 64 patients attending outpatient department of a tertiary eye care hospital at Latur from June 2018 to May 2019 who have undergone SICS with PMMA PC IOL (polymethyl methacrylate posterior chamber intraocular lens) implantation and clinically diagnosed with posterior capsular opacification. 64 eyes with PCO were subjected to Nd:YAG laser posterior capsulotomy after detailed slit lamp bio microscopic examination pre- and post-capsulotomy. Follow-up was done at 1 hour, 1 week, 2 weeks and 4 weeks and patients were examined for visual outcome and any complications at each visit. RESULTS There were 16 males (25 %) and 48 females (75 %) with a mean age of 65 years. Posterior capsule opacification occurs within 3 years accounting for 46.9 % of the cases. Elschnig pearls type of PCO was more common when compared to fibrous type of PCO. Best corrected visual acuity (BCVA) before Nd:YAG laser capsulotomy was less than 6 / 60 in 35 patients (54.7 %) and within 6 / 60 to 6 / 24 in 23 patients (35. 9 %) with 6 patients (9.4 %) accounting for visual acuity between 6 / 24 to 6 / 18. After Nd - YAG Laser Capsulotomy, 46.9 % gained best corrected visual acuity of 6 / 18 or better, 39.1 % cases improved 6 / 12 and better and BCVA of 6 / 9, 6 / 6 was observed in 11 cases and 1 case respectively. Only 12 out of 64 patients had complications. Raised intraocular pressure (IOP) was found in 4 patients. Intraocular lens (IOL) pitting was found in 8 patients. CONCLUSIONS Nd:YAG laser capsulotomy is a safe, effective and a non-invasive procedure which avoids all the complications of surgical capsulotomy in patients of posterior capsule opacification. KEYWORDS Posterior capsule opacification (PCO), Nd:Yag Laser Capsulotomy, Best Corrected Visual Acuity (BCVA), Central Subfield Macular Thickness (CSMT)

scholarly journals Vitreoretinal surgeons’ experience and time interval from pars-plana vitrectomy to cataract extraction

2021 ◽  
Vol 14 (1) ◽  
pp. 120-126
Author(s):  
Yan-Xin Xu ◽  
◽  
Jian-Bing Li ◽  
Huan-Huan Cheng ◽  
Min Hou ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Linear Regression ◽  
Pars Plana Vitrectomy ◽  
Linear Regression Analysis ◽  
Cataract Extraction ◽  
Time Interval ◽  
Case Volume ◽  
Time Intervals ◽  
Multivariable Linear Regression Analysis ◽  
Pars Plana

AIM: To identify the association of the vitreoretinal surgeons’ experience with the time interval between pars-plana vitrectomy (PPV) and cataract extraction (CE). METHODS: Eyes with prior PPV and following CE were included in this retrospective cohort study. The years of practice and the annual case volume were used to describe the surgeons’ experience. Multivariable linear regression analysis was used to investigate the relationship between surgeons’ experience and the time interval adjusted for the patients age, gender, intraocular tamponade, and case complexity. RESULTS: Of 132 430 eyes, 1445 eyes were included in this study. In multivariable linear regression analysis, cases performed by surgeons with >20 practice years had longer time intervals compared with surgeons with <10 practice years after adjusted for other variables (β=0.329, 95%CI: 0.113 to 0.549, P=0.003). No difference in time interval was detected for comparing the lowest with the highest volume groups (β=0.089, 95%CI: -0.164 to 0.343, P=0.343). The surgeons’ practice years were not directly with the volume. For complicated surgery, the higher-practice-year surgeons had longer time interval than lower-practice-year surgeons. CONCLUSION: The time intervals from PPV to CE is longer in higher-practice-year surgeons. The surgeons’ practice years may have a greater effect on the time interval than annual case volume in high-complexity cases. Matching the complexity of vitreoretinal diseases with the surgeons’ practice year should be considered.

scholarly journals Cataract Surgery in Post-Vitrectomized Eyes

2021 ◽  
Author(s):  
Olivia Esteban ◽  
Javier Mateo ◽  
Paula Casas ◽  
Javier Lara ◽  
Javier Ascaso
Keyword(s):  
Cataract Surgery ◽  
Pars Plana Vitrectomy ◽  
Surgical Techniques ◽  
Cataract Extraction ◽  
Posterior Capsule ◽  
Power Calculation ◽  
Refractive Errors ◽  
Special Challenge ◽  
Pars Plana ◽  
Potential Factors

Because of the application of vitreoretinal surgical techniques to a broader range of posterior segment diseases and because cataract develops frequently in postvitrectomy eyes, cataract surgeons should be familiar with the challenges of cataract extraction in vitrectomized eyes. Cataract surgery after pars plana vitrectomy significantly improves visual acuity in 85% of cases, limited by retinal comorbidity and surgical complications. However, despite recent advances, this surgery remains a special challenge. The cataract surgeon can prepare for these challenges with awareness of such potential factors as an excessively mobile posterior capsule, silicon oil removal and special considerations concerning intraocular lens selection and power calculation. And consider the postoperative complications as posterior capsule opacification or refractive errors.

Prior pars plana vitrectomy and its association with adverse intraoperative events during cataract surgery

2021 ◽  
Author(s):  
Lucy I. Mudie ◽  
Jennifer L. Patnaik ◽  
Anne M. Lynch ◽  
Ronald E. Wise
Keyword(s):  
Cataract Surgery ◽  
Pars Plana Vitrectomy ◽  
Pars Plana

scholarly journals Frequency of Complications Following Cataract Surgery in Diabetic Patients at Tertiary Care Hospital

2022 ◽  
Vol 9 (1) ◽  
pp. 75-81
Author(s):  
Muhammad Bilal ◽  
Shafqat Ali Shah ◽  
Marina Murad ◽  
Saad Ali ◽  
Ammad Ali ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Tertiary Care ◽  
Case Series ◽  
Female Gender ◽  
Posterior Capsule Opacification ◽  
Posterior Capsule ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Case Series Study

OBJECTIVES: To determine the frequency of complications following cataract surgery in diabetic patients admitted in the ophthalmology unit. METHODOLOGY: A prospective descriptive interventional case series study was conducted after approval of the ethical committee, from June 2017-June 2020 at the Ophthalmology department MTI-MMC. A total of 129 patients from either gender were enrolled in study. All the study patients went through detailed history and complete ocular examination. After necessary investigations, surgical procedure was carried out. Results were analyzed through the SPSS-24 version. RESULTS: Out of the total 129 eyes of the diabetic patients, fifty-nine (45.7%) were males and seventy (54.3%) were females with a ratio of 1:1.2. Uveitis leads the chart in complications found in twenty (15.50%) eyes while PODR being the least common found in only ten (7.75%) eyes. Worse visual acuity was observed in fourteen (10.85%) eyes. Striate keratopathy and posterior capsule opacification were found in sixteen (12.40%) and fifteen (11.62%) eyes respectively. Among the patients, 15.7% were having more than one complication during follow-up visits and eighty-eight (68.2%) eyes were found to have none complication. The age group 51-60 years observed frequent complications as compared to other groups. Similarly female gender (38.57%) has frequent complications as compared to males (2.7%). CONCLUSION: The study concludes Uveitis as the most common complication observed in 15.50% 0f the eyes while worse visual acuity (10.85%) and progression of diabetic retinopathy (7.75%) being the least common. Striate keratopathy was found in 12.40% while posterior capsule opacification in 11.62% of the eyes.

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