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Posterior synechiae in intercapsular cataract surgery.

M F Raines1, P Corridan, E C O'Neill

  • 1Birmingham and Midland Eye Hospital, England.

Ophthalmic Surgery
|April 1, 1989
PubMed
Summary

Posterior synechiae, where the iris sticks to the lens capsule after cataract surgery, occurred in 46% of eyes. Risk factors include surgical trauma, inflammation, and the size of the anterior capsulectomy.

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Area of Science:

  • Ophthalmology
  • Surgical Science

Background:

  • Standard intercapsular cataract extraction with posterior chamber lens implantation is a common procedure.
  • Posterior synechiae can be a complication following cataract surgery.

Purpose of the Study:

  • To investigate the incidence and characteristics of posterior synechiae.
  • To identify risk factors associated with posterior synechiae development after cataract surgery.

Main Methods:

  • Retrospective review of 68 patients (76 eyes) who underwent standard intercapsular cataract extraction and posterior chamber lens implantation.
  • Assessment for the presence and characteristics of posterior synechiae between anterior capsule remnants and the iris.

Main Results:

  • Posterior synechiae were observed in 35 eyes (46%) of the study cohort.
  • The study described the specific characteristics of these posterior synechiae.
  • Identified risk factors included intraoperative trauma, postoperative inflammation, and the size of the anterior capsulectomy.

Conclusions:

  • Posterior synechiae are a notable complication after standard intercapsular cataract extraction with posterior chamber lens implantation.
  • Minimizing intraoperative trauma, controlling postoperative inflammation, and managing anterior capsulectomy size may reduce the risk of posterior synechiae.

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