Phacoemulsification in posterior polar cataract: Experience from a tertiary eye care Centre in North India

Malhotra, Chintan; Dhingra, Deepika; Nawani, Nishant; Chakma, Partha; Jain, Arun Kumar

doi:10.4103/ijo.ijo_932_19

Cited by 10 publications

(3 citation statements)

References 24 publications

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“…Hayashi et al 8 have reported PCR in 7.1% of 28 eyes 8 , Haripriya et al had 12.5% PCR in their cases 9 , Malhotra showed a lower PCR rate of 7.6%. 10 and one study had a low rate of 4% using femtosecond lasers in PPC surgery. 11 To prevent this dreaded complication, many modi cations were proposed.…”

Section: Introductionmentioning

confidence: 99%

Hydrodissection and Femtosecond Laser Assisted Surgery in Posterior Polar Cataract

Assia,

Nemet

2024

Preprint

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Purpose: To present our clinical experience using femtosecond laser-assisted cataract surgery (FLACS) and cortical cleavage hydrodissection in eyes with posterior polar cataract Methods: Medical records of consecutive10 eyes of 6 patients with clinical diagnosis of PPC, were retrospectively reviewed. All surgeries were done by using femtosecond laser-assisted cataract surgery (FLACS). In all cases careful hydrodissection was done to separate the lens material from the posterior capsule. Results: There were 3 men and 3 females, ages 39–73 years (average 52.5years), two of them were implanted with toric lenses. In all eyes hydrodissection was successfully performed and the lens material was separated from the lens capsule. The posterior capsule remained intact during nucleus removal in all cases. In one eye the posterior capsule broke during cortical cleaning and the tear was converted to posterior capsulorhexis (PCCC). No postoperative complications were recorded during follow-up in all eyes. Conclusions: Hydrodissection can be safely performed in eyes with posterior polar cataract with no evidence of a preexisting posterior capsule rent. Hydrodissection is regarded by most surgeons as contraindicated in these eyes however apparently it is more gentile to the capsule than any other surgical maneuver and allows clean and efficient separation of the lens material from the thinned posterior capsule. Femtosecond laser capsulotomy and lens fragmentation is effective and may further assist surgery by pneumo-separation of the lens material. Anterior chamber maintainer may further aid to the stability of the chamber and safety of surgery.

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Section: Introductionmentioning

confidence: 99%

Hydrodissection and Femtosecond Laser Assisted Surgery in Posterior Polar Cataract

Assia,

Nemet

2024

Preprint

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“…PPC is associated with a very thin, fragile, or a deficient posterior capsule (PC) and an increased risk of posterior capsular rupture (PCR) and nucleus drop. [ 1 ]…”

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confidence: 99%

Trident technique of safe nuclear emulsification in posterior polar cataracts

Chandrashekharan,

Ghosh,

Rengappa

2023

Indian Journal of Ophthalmology

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The common complications associated with a posterior polar cataract (PPC) with deficient or weak posterior capsules (PCs) are posterior capsular rupture (PCR), vitreous loss, and luxation of lens material into the vitreous. Often the commonly used technique of hydrodelineation in such cataracts can lead to accidental hydrodissection, and even the slightest nucleus rotation during phacoemulsification can cause the PC to give way. We describe a modified relatively safe technique (Trident technique) for managing the nucleus in PPCs which does not involve any hydroprocedure or nucleus rotation.

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“…If posterior lens capsule weakness could be identified preoperatively, modified surgical techniques could be used to minimize the intraoperative stress on the fragile PC, including avoidance of hydrodissection and layer-by-layer phacoemulsification. [6][7][8][9][10] Therefore, accurate detection of preexisting PC dehiscence in posterior lens opacities preoperatively would be very beneficial.…”

mentioning

confidence: 99%

Intraoperative OCT for the assessment of posterior capsular integrity in pediatric cataract surgery

Chen

Lin²,

Zhu³

et al. 2022

J Cataract Refract Surg

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Phacoemulsification in posterior polar cataract: Experience from a tertiary eye care Centre in North India

Cited by 10 publications

References 24 publications

Hydrodissection and Femtosecond Laser Assisted Surgery in Posterior Polar Cataract

Hydrodissection and Femtosecond Laser Assisted Surgery in Posterior Polar Cataract

Trident technique of safe nuclear emulsification in posterior polar cataracts

Intraoperative OCT for the assessment of posterior capsular integrity in pediatric cataract surgery

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