Intraoperative management of posterior capsule tears in phacoemulsification and intraocular lens implantation

Gimbel, Howard V.; Sun, Ran; Ferensowicz, Maria; Penno, Ellen Anderson; Kamal, Aasim

doi:10.1016/s0161-6420(01)00716-3

Cited by 89 publications

(71 citation statements)

References 18 publications

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“…[15][16][17][18][19] Studies have documented the incidence of PCTs to range from 2.1 to 9.9% in resident-performed surgeries, 15-21 although these incidences were higher than those reported by experienced surgeons (0.45-2.5%), 20,22,23 and the incidence of VL was from 1.8 to 14.7%. The rates differed depending on the studies.…”

Section: Discussionmentioning

confidence: 99%

Increased intraocular pressure on the first postoperative day following resident-performed cataract surgery

Kim

Brauner

et al. 2011

Eye

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Purpose The aim of this study was to investigate the incidence of intraocular pressure (IOP) elevation after residentperformed cataract surgery and to determine variables, which influence postoperative day 1 (POD1) IOP. Conclusions IOP elevation on the first postoperative day following residentperformed cataract surgery occurred frequently (22.0%). Increased early postoperative IOP was associated with presence of glaucoma and ocular hypertension, higher preoperative IOP, and longer axial length.

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Section: Discussionmentioning

confidence: 99%

Increased intraocular pressure on the first postoperative day following resident-performed cataract surgery

Kim

Brauner

et al. 2011

Eye

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“…If it is a small focal defect, the lens can still be placed carefully in the bag, made safer if a posterior capsulorrhexis is performed. 8 If there is any doubt and definitely in all cases of a large defect, the IOL needs to be placed in the sulcus. While no optimal IOL exists for sulcus placement in such a situation, the currently available three-piece foldable lenses suffice.…”

Section: Posterior Capsular Rupturementioning

confidence: 99%

Complications of cataract surgery

Chan

Mahroo

Spalton

2010

Clinical and Experimental Optometry

136

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Modern cataract surgery is safe in more than 95 per cent of patients. In the small number of cases where a serious complication occurs, the most common is an intra-operative posterior capsular rupture. This can lead to vitreous loss or a dropped nucleus and can increase the risk of post-operative cystoid macular oedema or retinal detachment. Postoperatively, posterior capsular opacification is the most common complication and can be readily treated with a YAG capsulotomy. The most devastating complication is endophthalmitis, the rate of which is now significantly decreased through the use of intracameral antibiotics. As a clinician, the most important step is to assess the patient pre-operatively to predict higher risk individuals and to counsel them appropriately. In these patients, various pre-or intra-operative management steps can be taken in addition to routine phacoemulsification to optimise their visual outcome.

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“…4 However, while the incidence of IFIS in the general population has been reported to be between 0.6 and 3.7%, reports on the incidence of IFIS in patients exposed to tamsulosin vary widely from 37.9% to 100%. 3,[5][6][7][8][9] IFIS has been found to be associated with other alpha-blockers including doxazocin, although much less strongly. 10,11 The proposed mechanism for IFIS with alpha-blockers is through the blockade of the alpha-1 receptors, specifically alpha-1a receptors, which are found both in the prostate and in the iris.…”

Section: Alpha-blockers and Floppy Iris Syndromementioning

confidence: 99%