Primary posterior capsular opacification in Indian rural population undergoing cataract surgery for hypermature senile cataract

Rajesh Subhash JoshiDepartment of Ophthalmology, Vasatrao Naik Government Medical College, Yavatmal, IndiaAim: To find out the incidence of primary posterior capsular opacification (PCO) in rural patients with a hypermature senile cataract undergoing cataract surgery.Settings: Tertiary eye care cent...

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Autor principal:	Joshi RS
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/78f24489485040dd9cd631fae4119744
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spelling	oai:doaj.org-article:78f24489485040dd9cd631fae41197442021-12-02T02:12:14ZPrimary posterior capsular opacification in Indian rural population undergoing cataract surgery for hypermature senile cataract1177-54671177-5483https://doaj.org/article/78f24489485040dd9cd631fae41197442013-08-01T00:00:00Zhttp://www.dovepress.com/primary-posterior-capsular-opacification-in-indian-rural-population-un-a13960https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Rajesh Subhash JoshiDepartment of Ophthalmology, Vasatrao Naik Government Medical College, Yavatmal, IndiaAim: To find out the incidence of primary posterior capsular opacification (PCO) in rural patients with a hypermature senile cataract undergoing cataract surgery.Settings: Tertiary eye care center in central India.Design: Prospective, observational, noncomparative study.Materials and methods: Two-hundred eyes of 200 patients presenting with a hypermature cataract underwent manual small incision cataract surgery. A single surgeon performed all surgeries under peribulbar anesthesia. After cortical clean-up, the capsular bag was inflated with viscoelastic. The presence or absence of opacity on the posterior lens capsule and location was noted. Postoperative follow-up was done for visual acuity and need for neodymium-doped yttrium aluminum garnet (ND:YAG) laser capsulotomy.Results: Primary PCO occurred in 76 eyes (incidence of 38%). It was peripheral in 58 eyes (76.3%) and central in 18 eyes (23.7%). At 6 weeks postoperatively, best corrected visual acuity for eyes with central primary PCO (n = 18) was 0.2–0.3 logMAR and 0–0.2 logMAR for eyes with peripheral primary PCO (n = 58). Best corrected visual acuity at the 6- and 12-month follow-up was 0–0.2 logMAR in both groups. Fibrotic primary PCO was seen in four patients. No predilection for the development of primary PCO to a particular quadrant of posterior capsule was observed. At 1 year postoperatively, eleven (14.5%) patients required ND:YAG laser capsulotomy, six (7.90%) of whom underwent ND:YAG laser capsulotomy at the 6-month follow-up. Seven patients with central primary PCO and four patients with peripheral primary PCO required ND:YAG laser capsulotomy.Conclusion: A high incidence of primary PCO was noted in rural patients with a hypermature senile cataract undergoing cataract surgery. No serious intraoperative complications were noted. Visual outcome at 1-year follow-up was satisfactory. Need for early ND:YAG laser posterior capsulotomy should be explained to these patients before cataract surgery. No post ND:YAG capsulotomy complications were noted in any patient.Keywords: posterior capsular opacification, hypermature cataract, manual small incision cataract surgeryJoshi RSDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 1605-1608 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Joshi RS Primary posterior capsular opacification in Indian rural population undergoing cataract surgery for hypermature senile cataract
description	Rajesh Subhash JoshiDepartment of Ophthalmology, Vasatrao Naik Government Medical College, Yavatmal, IndiaAim: To find out the incidence of primary posterior capsular opacification (PCO) in rural patients with a hypermature senile cataract undergoing cataract surgery.Settings: Tertiary eye care center in central India.Design: Prospective, observational, noncomparative study.Materials and methods: Two-hundred eyes of 200 patients presenting with a hypermature cataract underwent manual small incision cataract surgery. A single surgeon performed all surgeries under peribulbar anesthesia. After cortical clean-up, the capsular bag was inflated with viscoelastic. The presence or absence of opacity on the posterior lens capsule and location was noted. Postoperative follow-up was done for visual acuity and need for neodymium-doped yttrium aluminum garnet (ND:YAG) laser capsulotomy.Results: Primary PCO occurred in 76 eyes (incidence of 38%). It was peripheral in 58 eyes (76.3%) and central in 18 eyes (23.7%). At 6 weeks postoperatively, best corrected visual acuity for eyes with central primary PCO (n = 18) was 0.2–0.3 logMAR and 0–0.2 logMAR for eyes with peripheral primary PCO (n = 58). Best corrected visual acuity at the 6- and 12-month follow-up was 0–0.2 logMAR in both groups. Fibrotic primary PCO was seen in four patients. No predilection for the development of primary PCO to a particular quadrant of posterior capsule was observed. At 1 year postoperatively, eleven (14.5%) patients required ND:YAG laser capsulotomy, six (7.90%) of whom underwent ND:YAG laser capsulotomy at the 6-month follow-up. Seven patients with central primary PCO and four patients with peripheral primary PCO required ND:YAG laser capsulotomy.Conclusion: A high incidence of primary PCO was noted in rural patients with a hypermature senile cataract undergoing cataract surgery. No serious intraoperative complications were noted. Visual outcome at 1-year follow-up was satisfactory. Need for early ND:YAG laser posterior capsulotomy should be explained to these patients before cataract surgery. No post ND:YAG capsulotomy complications were noted in any patient.Keywords: posterior capsular opacification, hypermature cataract, manual small incision cataract surgery
format	article
author	Joshi RS
author_facet	Joshi RS
author_sort	Joshi RS
title	Primary posterior capsular opacification in Indian rural population undergoing cataract surgery for hypermature senile cataract
title_short	Primary posterior capsular opacification in Indian rural population undergoing cataract surgery for hypermature senile cataract
title_full	Primary posterior capsular opacification in Indian rural population undergoing cataract surgery for hypermature senile cataract
title_fullStr	Primary posterior capsular opacification in Indian rural population undergoing cataract surgery for hypermature senile cataract
title_full_unstemmed	Primary posterior capsular opacification in Indian rural population undergoing cataract surgery for hypermature senile cataract
title_sort	primary posterior capsular opacification in indian rural population undergoing cataract surgery for hypermature senile cataract
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/78f24489485040dd9cd631fae4119744
work_keys_str_mv	AT joshirs primaryposteriorcapsularopacificationinindianruralpopulationundergoingcataractsurgeryforhypermaturesenilecataract
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Primary posterior capsular opacification in Indian rural population undergoing cataract surgery for hypermature senile cataract

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