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Phacoemulsification with coexisting corneal opacities.

Namrata Sharma1, Deepali Singhal1, Prafulla Kumar Maharana1

  • 1Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Journal of Cataract and Refractive Surgery
|December 5, 2018
PubMed
Summary
This summary is machine-generated.

Triple procedures are standard for corneal opacity and cataracts, but poor graft survival necessitates alternatives. This review focuses on phacoemulsification (cataract surgery) in patients with corneal opacity, emphasizing case selection and surgical techniques for better visual outcomes.

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Area of Science:

  • Ophthalmology
  • Corneal Surgery
  • Cataract Surgery

Background:

  • Triple procedures (corneal transplant, cataract surgery, glaucoma surgery) are common for corneal opacity and cataracts.
  • Graft survival can be poor in complex cases, including those with deep vascularization, secondary glaucoma, or healed viral keratitis.
  • In such challenging scenarios, isolated cataract surgery may offer sufficient visual improvement for daily activities.

Purpose of the Study:

  • To review case selection criteria for performing cataract surgery in patients with coexisting corneal opacities.
  • To discuss surgical modifications and techniques for phacoemulsification in challenging eyes with corneal opacity.
  • To highlight strategies for optimizing visual outcomes in these complex ophthalmic cases.

Main Methods:

  • Literature review focusing on case selection for phacoemulsification in eyes with corneal opacity.
  • Analysis of surgical modifications and techniques relevant to managing coexisting corneal pathology during cataract surgery.
  • Discussion of challenges and solutions for achieving optimal visual results in complex cases.

Main Results:

  • Phacoemulsification can be a viable option for cataract removal in select patients with corneal opacity.
  • Careful patient selection is crucial, considering factors like corneal vascularization and intraocular pressure.
  • Specific surgical techniques and modifications can mitigate risks and improve outcomes.

Conclusions:

  • Isolated cataract surgery, particularly phacoemulsification, can be beneficial when graft survival is a concern.
  • Thorough understanding of case selection and surgical nuances is paramount for successful outcomes.
  • This approach may significantly enhance visual acuity and daily function for affected patients.