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Related Experiment Videos

Endocapsular cataract extraction.

P H Rosen1, J M Twomey, C M Kirkness

  • 1Moorfields Eye Hospital, London.

Eye (London, England)
|January 1, 1989
PubMed
Summary
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Endocapsular cataract surgery offers similar visual outcomes to standard extracapsular procedures but has higher complication rates. Lens dislocation into the capsular bag occurred less frequently over time in the endocapsular group.

Area of Science:

  • Ophthalmology
  • Surgical Techniques

Background:

  • Endocapsular (intercapsular) cataract surgery is gaining popularity, especially in Europe.
  • This technique involves cataract extraction and intraocular lens (IOL) insertion within the capsular bag.

Purpose of the Study:

  • To describe the technique of endocapsular cataract extraction and IOL insertion.
  • To prospectively compare the outcomes and complications of endocapsular cataract extraction with standard extracapsular procedures.

Main Methods:

  • Prospective comparison of 93 eyes undergoing endocapsular cataract extraction versus 83 eyes undergoing standard extracapsular cataract extraction.
  • Evaluation of visual outcomes, preoperative and postoperative complications, and IOL position over time.

Main Results:

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  • No significant difference in visual outcome between the two surgical groups.
  • Higher incidence of preoperative and postoperative complications in the endocapsular group, including posterior synechiae (19%).
  • Initial in-the-bag IOL placement in 90% of endocapsular cases, decreasing to 53% at three months, with associated lens decentration requiring repositioning.

Conclusions:

  • Endocapsular cataract surgery yields comparable visual results to standard extracapsular surgery.
  • The endocapsular technique is associated with a higher complication rate and a significant rate of IOL decentration over time.