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The association between fibrillopathy and posterior capsular/zonular breaks during extracapsular cataract extraction and posterior chamber IOL implantation
Author(s) -
Høvding Gunnar
Publication year - 1988
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.1988.tb04058.x
Subject(s) - medicine , cataract extraction , ophthalmology , intraocular lens , lens (geology) , intraocular lenses , biology , paleontology
Abstract. During extracapsular cataract extraction (ECCE) with an intended implantation of a posterior chamber intraocular lens (IOL), the frequency of posterior capsular/zonular breaks was significantly higher in eyes with fibrillopathy (5 of 28 eyes = 17.9%) than in eyes without fibrillopathy (16 of 284 eyes = 5.6%) ( P > 0.05). The rupture of the posterior capsular‐zonular barrier was detected during lens nucleus expression in 4 eyes (19.0%), during lens cortex clean‐up in 14 eyes (66.7%) and during IOL implantation in 3 eyes (14.3%). Possible causes of this increased risk of posterior capsular/zonular breaks in patients with fibrillopathy are discussed.