Lens capsule-related problems in patients undergoing phacoemulsification surgery

Lokman Aslan, Adnan Aksoy, Murat Aslankurt, Murat &Ouml;zdemir Ophthalmology Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey Purpose: This study aimed to compare lens capsule-related problems in mature versus non-mature senile cataracts in patients...

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Autores principales:	Aslan L, Aksoy A, Aslankurt M, Ozdemir M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/8f514cbcbc944208a5888c5d2db58654
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spelling	oai:doaj.org-article:8f514cbcbc944208a5888c5d2db586542021-12-02T01:34:10ZLens capsule-related problems in patients undergoing phacoemulsification surgery1177-54671177-5483https://doaj.org/article/8f514cbcbc944208a5888c5d2db586542013-03-01T00:00:00Zhttp://www.dovepress.com/lens-capsule-related-problems-in-patients-undergoing-phacoemulsificati-a12428https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Lokman Aslan, Adnan Aksoy, Murat Aslankurt, Murat &Ouml;zdemir Ophthalmology Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey Purpose: This study aimed to compare lens capsule-related problems in mature versus non-mature senile cataracts in patients undergoing phacoemulsification surgery. Methods: A total of 295 patients with senile cataract were divided into two groups according to lens maturation: 105 patients with mature senile cataract comprised Group 1 (study group) and the remaining 190 with non-mature senile cataract comprised Group 2 (control group). Prior to surgery, ophthalmological examination was undertaken. Patients&rsquo; best-corrected visual acuity and intraocular pressure were measured and a slit-lamp examination and funduscopy performed. All examination data were recorded and any capsule-related problems during surgery were also recorded. Patient files were reviewed retrospectively and compared between groups. Fisher&rsquo;s exact test was used in the statistical analysis. Results: In Group 1, the capsule-related problems found were: inability to complete capsulorhexis (seven eyes [6.6%]), posterior capsular perforation (three eyes [2.8%]), and conversion to extracapsular surgery (one eye [0.9%]). A posterior capsular perforation was seen in one eye (1%) in the control group. An intraocular lens was inserted into the sulcus in six eyes (5.7%) and one anterior chamber (0.9%) in Group 1 and into the sulcus in one eye (0.5%) of Group 2. The lens was inserted into the capsular bag in all other patients. Conclusion: Delaying surgery in patients with cataracts creates a high risk for capsule-related surgical complications. Although capsule dyes make capsulorhexis easier, capsulorhexis is the most problematic phase of phacoemulsification in mature cataracts. Keywords: mature senile cataract, non-mature senile cataract, capsulorhexisAslan LAksoy AAslankurt MOzdemir MDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 511-514 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Aslan L Aksoy A Aslankurt M Ozdemir M Lens capsule-related problems in patients undergoing phacoemulsification surgery
description	Lokman Aslan, Adnan Aksoy, Murat Aslankurt, Murat &Ouml;zdemir Ophthalmology Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey Purpose: This study aimed to compare lens capsule-related problems in mature versus non-mature senile cataracts in patients undergoing phacoemulsification surgery. Methods: A total of 295 patients with senile cataract were divided into two groups according to lens maturation: 105 patients with mature senile cataract comprised Group 1 (study group) and the remaining 190 with non-mature senile cataract comprised Group 2 (control group). Prior to surgery, ophthalmological examination was undertaken. Patients&rsquo; best-corrected visual acuity and intraocular pressure were measured and a slit-lamp examination and funduscopy performed. All examination data were recorded and any capsule-related problems during surgery were also recorded. Patient files were reviewed retrospectively and compared between groups. Fisher&rsquo;s exact test was used in the statistical analysis. Results: In Group 1, the capsule-related problems found were: inability to complete capsulorhexis (seven eyes [6.6%]), posterior capsular perforation (three eyes [2.8%]), and conversion to extracapsular surgery (one eye [0.9%]). A posterior capsular perforation was seen in one eye (1%) in the control group. An intraocular lens was inserted into the sulcus in six eyes (5.7%) and one anterior chamber (0.9%) in Group 1 and into the sulcus in one eye (0.5%) of Group 2. The lens was inserted into the capsular bag in all other patients. Conclusion: Delaying surgery in patients with cataracts creates a high risk for capsule-related surgical complications. Although capsule dyes make capsulorhexis easier, capsulorhexis is the most problematic phase of phacoemulsification in mature cataracts. Keywords: mature senile cataract, non-mature senile cataract, capsulorhexis
format	article
author	Aslan L Aksoy A Aslankurt M Ozdemir M
author_facet	Aslan L Aksoy A Aslankurt M Ozdemir M
author_sort	Aslan L
title	Lens capsule-related problems in patients undergoing phacoemulsification surgery
title_short	Lens capsule-related problems in patients undergoing phacoemulsification surgery
title_full	Lens capsule-related problems in patients undergoing phacoemulsification surgery
title_fullStr	Lens capsule-related problems in patients undergoing phacoemulsification surgery
title_full_unstemmed	Lens capsule-related problems in patients undergoing phacoemulsification surgery
title_sort	lens capsule-related problems in patients undergoing phacoemulsification surgery
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/8f514cbcbc944208a5888c5d2db58654
work_keys_str_mv	AT aslanl lenscapsulerelatedproblemsinpatientsundergoingphacoemulsificationsurgery AT aksoya lenscapsulerelatedproblemsinpatientsundergoingphacoemulsificationsurgery AT aslankurtm lenscapsulerelatedproblemsinpatientsundergoingphacoemulsificationsurgery AT ozdemirm lenscapsulerelatedproblemsinpatientsundergoingphacoemulsificationsurgery
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Lens capsule-related problems in patients undergoing phacoemulsification surgery

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