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MORPHOLOGICAL ANALYSIS OF THE LENS NUCLEUS.
Shrikant Waikar1, Akhil Bhardwaj2
1Graded Specialist (Ophthalmology), Military Hospital, Agra.
Medical Journal, Armed Forces India
|August 10, 2017
Summary
Preoperative assessment of patient age, nuclear color, and Wilmer System grade can predict cataract nucleus size and hardness. This aids surgeons in planning Extra-Capsular Cataract Extraction, potentially reducing surgical complications.
Area of Science:
- Ophthalmology
- Surgical Science
Background:
- Cataract surgery, particularly Extra-Capsular Cataract Extraction (ECCE), requires careful preoperative planning.
- Understanding nuclear characteristics like size and hardness is crucial for surgical success.
Purpose of the Study:
- To investigate the correlation between preoperative patient and cataract parameters and postoperative nuclear characteristics.
- To determine if nuclear size and hardness can be predicted preoperatively.
Main Methods:
- Analysis of data from 438 eyes of 365 patients undergoing ECCE.
- Recording preoperative patient age, nuclear color, and Wilmer System grade.
- Postoperative recording of nuclear diameter, width, and hardness.
Main Results:
- A strong correlation was found between patient age, nuclear color, Wilmer System grade, and nuclear size and hardness.
- Preoperative factors significantly predict the physical properties of the cataract nucleus.
Conclusions:
- Preoperative assessment of age, nuclear color, and Wilmer System grade allows prediction of cataract nucleus size and hardness.
- This predictive capability can optimize surgical planning for ECCE and phacoemulsification, potentially reducing complications.
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