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[Phacoemulsification in white cataract].

Monica Gavriş1, Diana Popa, C Cărăuş

  • 1Spitalul Militar de Urgenţă Dr. Constantin Papilian Cluj-Napoca.

Oftalmologia (Bucharest, Romania : 1990)
|September 3, 2004
PubMed
Summary
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Managing white, intumescent cataracts presents challenges in capsulorhexis and phacoemulsification. Foldable intraocular lens implantation using the Monarch II injector is effective with practice and proper cartridge selection.

Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Cataract Surgery

Context:

  • White, intumescent cataracts pose unique surgical challenges.
  • Phacoemulsification and capsulorhexis require specific technical considerations.
  • Foldable intraocular lens (IOL) implantation necessitates careful technique.

Purpose:

  • To evaluate the technical difficulties and intraoperative complications of capsulorhexis and phacoemulsification in white, intumescent cataracts.
  • To assess the incidences during foldable IOL implantation using the Monarch II injector.

Summary:

  • A clinical study of 70 eyes with white intumescent cataracts detailed surgical challenges.
  • Complications included failed capsulorhexis (5.71%), posterior capsule rupture (1.43%), and conversion to extracapsular extraction (4.29%).

Related Experiment Videos

  • Monarch II injector use for IOL implantation had varied success rates and specific haptic-related issues.

    • Impact:

    • Continuous curvilinear capsulorhexis is feasible with trypan blue or aspiration techniques.
    • Foldable IOL implantation with injectors becomes easier with experience and correct cartridge size.
    • Findings inform surgical strategies for challenging cataract cases.