Evaluation of Posterior Capsular Opacification following Phacoemulsification, Extracapsular and Small Incision Cataract Surgery

Moulick, P.S.; Rodrigues, Fea; Shyamsundar, Kripanidhi

doi:10.1016/s0377-1237(09)80008-7

Cited by 13 publications

(11 citation statements)

References 15 publications

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“…Similar results were reported by Moulick et al20 in India (standard or conventional ECCE = 28.1%, MSICS = 15.4%, P = 0.69) and Guzek and Ching14 in Ghana (MSICS = 21.9%, conventional ECC = 12.5%; P = 0.127). Surgical technique is therefore not a risk factor for the development of secondary cataract.…”

Section: Discussionsupporting

confidence: 88%

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Secondary cataract: an epidemiologic and clinical survey at the Yaounde Gynaeco-obstetric and Paediatric Hospital

Eballe¹,

Ellong²,

Ella³

et al. 2011

OPTH

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Objective:To determine the incidence and risk factors of secondary cataract.Materials and methods:A retrospective study involving a review of medical records in the ophthalmology unit of the Yaoundé Gynaeco-obstetric and Paediatric Hospital in Yaoundé, Cameroon, was carried out. All patients who had cataract surgery between January 2006 and September 2010 were included. Variables included age, sex, past medical history, morphology of primary cataract, type of surgery, intraocular lens implantation, site of implantation, intra- and postoperative complications, and the time lapse for the presentation of secondary cataract. Both univariate and bivariate analyses were carried out. The χ2 test was used to compare proportions, and P-values <0.05 were considered statistically significant.Results:A total of 864 eyes of 718 patients had cataract surgery. Ninety-two eyes developed posterior capsule opacification, giving an incidence of 10.65%. The mean age of patients who developed secondary cataract was 52.3 ± 23.05 years, with a range of 4 years to 84 years. Secondary cataract was more frequent in the age group of 0–20 years. The time lapse for presentation of secondary cataract was 64.7 ± 9.53 days, with a range of 1 to 504 days. Risk factors for the development of secondary cataract were age (P = 0.000), sex (P = 0.011), cortical cataract (P = 0.000), and postoperative inflammation (P = 0.000).Conclusion:The incidence of secondary cataract, though high in this study, is lower than that reported in other studies.

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Section: Discussionsupporting

confidence: 88%

“…Our value is higher than the 4.7% reported by Muhammad et al18 in Pakistan. Factors such as age, etiology of cataract, type of surgery, and duration of postoperative follow-up could account for these differences 19,20…”

Section: Discussionmentioning

confidence: 99%

Secondary cataract: an epidemiologic and clinical survey at the Yaounde Gynaeco-obstetric and Paediatric Hospital

Eballe¹,

Ellong²,

Ella³

et al. 2011

OPTH

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show abstract

“…Those procedures' factors could be minimized by doing phacoemulsification. 5,16 In this study, the cross tabulation evaluated IOL factors in phacoemulsification group only. It was considered to minimize bias due to surgical technique difference.…”

Section: Discussionmentioning

confidence: 99%

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

Ayuningtyas

Gondhowiardjo

2015

Med J Indones

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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.

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“…The above study findings are consistent with the reported PCO cases in Moulick et al study among 150 patients. 11 In a comparative study by Moin et al, between Hydrophobic Acrylic and polymethyl methacrylate (PMMA) intraocular lenses on incidence of PCO after cataract surgery found that PCO development was 6.2% with hydrophobic Acrylic IOLs and it was 23.4% with PMMA lenses. 12 In the present study among the 184 participants, 13% had history of implantation of Acrylic IOL during cataract surgery which less than the PMMA IOL implantation (87%).…”

Section: Discussionmentioning

confidence: 99%

Determinants of posterior capsular opacity after cataract surgery: a cross-sectional study

Sahu

Mishra

2019

Int J Res Med Sci

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Background: Posterior capsular opacification (PCO) which is also known as “after cataract” or “secondary cataract”, is the most common complication of cataract surgery, with an incidence of 20-50%. The current study was conducted in a tertiary hospital of Odisha with an objective to find out the determinants of PCO among patients with defective vision attending the outdoor patient department of Ophthalmology.Methods: A hospital based descriptive study was conducted among the patients attending the ophthalmology out patient department of a tertiary hospital of Odisha. The detail history regarding the type of surgical procedure used for cataract extraction and the type of Intra Ocular Lens (IOL) implanted, duration of post-operative period was collected from the available documents and ophthalmic examination of the participants.Results: In the present study, 184 participants were included and examined. Fifty percent of the participants had undergone conventional extra capsular cataract extraction procedure. In 86.95% participants, the IOL used was Poly Methyl Methacrylate lens (PMMA). In 26.08% of the participants the development of PCO was within 12 to 36 months of cataract surgery. The average duration of PCO development recorded for participants <20 years was 3 months.Conclusions: Most of the participants included in the study with PCO had undergone conventional ECCE surgery, implanted PMMA lens, IOL with round edge and had a duration of 12-36 months between cataract surgery and PCO development. The average duration of PCO development is less among younger participants which gradually increases with increase in age.

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Evaluation of Posterior Capsular Opacification following Phacoemulsification, Extracapsular and Small Incision Cataract Surgery

Abstract: Posterior capsular opacification following cataract surgery can be minimized by the use of small incision cataract surgery and phacoemulsification.

Cited by 13 publications

References 15 publications

Secondary cataract: an epidemiologic and clinical survey at the Yaounde Gynaeco-obstetric and Paediatric Hospital

Secondary cataract: an epidemiologic and clinical survey at the Yaounde Gynaeco-obstetric and Paediatric Hospital

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

Determinants of posterior capsular opacity after cataract surgery: a cross-sectional study

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