Open AccessOutcomes of Phacoemulsification with Anterior Chamber Maintainer in Vitrectomized Eyes
Author(s) -
Elif Betül Türkoğlu,
Mehmet Akif Acar,
Seyhan Dikçi,
Nurten Ünlü,
Firdevs Örnek
Publication year - 2012
Publication title -
türk oftalmoloji dergisi
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.654
H-Index - 10
eISSN - 2147-2661
pISSN - 1300-0659
DOI - 10.4274/tjo.42.83703
Subject(s) - software maintainer , phacoemulsification , ophthalmology , medicine , computer science , visual acuity , operating system
Pur po se: To evaluate the outcomes of phacoemulsification with anterior chamber maintainer in vitrectomized eyes with complicated\udcataract.\udMa te ri al and Met hod: Twenty eyes of 20 patients who developed complicated cataract after pars plana vitrectomy (PPV) were included in\udthe study. Phacoemulsification with clear corneal incision and foldable intraocular lens implantation was performed. In group 1, anterior\udchamber maintainer (ACM) was used during phacoemusification and in group 2, ACM was not used. Pre- and postoperative visual acuities as\udwell as per- and postoperative complications were reviewed retrospectively.\udRe sults: Anterior chamber maintainer was used during the surgery in 12 (60%) cases and was not used in 8 (40%) cases.\udPhacoemulsification was performed 16.5±9.2 (4-40) months after PPV. Best-corrected visual acuities were between hand motions and 0.4\udpreoperatively and between counting fingers from 1 meter and 1.0 postoperatively in group 1. Best-corrected visual acuities were between\udhand motions and 0.1 preoperatively and between counting fingers from 1 meter and 0.8 postoperatively in group 2. Posterior capsule was\udruptured in 1 eye peroperatively in group 1. In group 2, phacoemulsification was more difficult due to deep anterior chamber in 8 eyes and\udintraoperative complications were iris sphincter rupture in 1 eye and posterior capsule rupture in 1 eye. Mild corneal edema in 7 (58.3%)\udeyes, fibrin reaction in 2 (16.6%), intraocular lens decentralization in 1 (8.3%) and posterior capsule opacification in 4 (33.3%) eyes were\udthe postoperative complications in group 1. Mild corneal edema in 5 (62.5%) eyes, fibrin reaction in 1 (12.5%) and posterior capsule\udopacification in 2 (25%) eyes were the postoperative complications in group 2.\udDis cus si on: Complicated cataracts which may develop after PPV can be treated safely with phacoemulsification. Continuous irrigation\udduring the surgery may provide a stable anterior chamber and prevents surgical complications. (Turk J Ophthalmol 2012; 42: 253-6