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Intercapsular cataract surgery with lens epithelial cell removal. Part I: Without capsulorhexis
1Nishi Eye Hospital, Osaka, Japan.
Journal of Cataract and Refractive Surgery
|May 1, 1989
Summary
Removing lens epithelial cells and anterior capsule during intercapsular cataract extraction is crucial. This prevents complications like anterior capsule opacification and shrinkage after posterior chamber intraocular lens implantation.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Cataract Surgery
Background:
- Intercapsular cataract extraction (ICCE) involves removing the lens nucleus and cortex.
- Lens epithelial cells (LECs) can cause postoperative complications if not adequately removed.
- Anterior capsule management after ICCE requires careful consideration.
Purpose of the Study:
- To evaluate the necessity of removing the anterior capsule and LECs after ICCE.
- To assess the incidence of postoperative complications in eyes undergoing ICCE without anterior capsule removal.
Main Methods:
- Thirty eyes underwent endocapsular phacoemulsification or ICCE with ultrasound-assisted LEC removal.
- Posterior chamber intraocular lenses were implanted.
- The anterior capsule was intentionally left in place in all cases.
Main Results:
- Anterior capsule opacification occurred in 6 eyes.
- Posterior synechias were observed in 6 eyes.
- Anterior capsule shrinkage below the pupil occurred in 11 eyes.
Conclusions:
- Leaving the anterior capsule in place after ICCE can lead to opacification and shrinkage.
- Complete removal of LECs and the anterior capsule is recommended to prevent these complications.
- This technique may reduce the risk of other LEC-related issues like posterior capsule opacification.