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[Cataract operations on the remaining eye].

B Zeisberg1, J Wollensak

  • 1Universitätsklinikum Rudolf Virchow, Standort, Charlottenburg.

Klinische Monatsblatter Fur Augenheilkunde
|December 1, 1988
PubMed
Summary

Cataract surgery in one-eyed patients using posterior chamber intraocular lenses (PCIOLs) showed low complication rates, similar to general populations. PCIOL implantation is recommended for remaining functional eyes, with specific exceptions.

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[Radiotherapy of exudative senile macular degeneration. A prospective controlled study].

Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·1998
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[Partial sphincterectomy in cataract surgery. Clinical and patho-histologic results].

Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·1998
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[Cataract surgery at the Berlin Virchow clinic. Overview of the last 16 years].

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Inadvertent use of chlorhexidine as intraocular irrigation solution.

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Intraocular pressure in nonglaucomatous eyes with pseudoexfoliation syndrome after cataract surgery.

Ophthalmic surgery and lasers·1998

Area of Science:

  • Ophthalmology
  • Surgical Innovation
  • Patient Outcomes

Context:

  • Cataract surgery in patients with a functionally monocular eye presents unique considerations.
  • Previous data on outcomes in this specific patient group are limited.
  • Assessing complication rates and visual outcomes is crucial for surgical decision-making.

Purpose:

  • To evaluate the safety and efficacy of Simcoe-type posterior chamber intraocular lens (PCIOL) implantation in one-eyed patients undergoing cataract surgery.
  • To compare complication rates in this cohort with the general cataract surgery population.
  • To identify contraindications for PCIOL implantation in monocular patients.

Summary:

  • A retrospective review of 500 one-eyed patients undergoing cataract surgery, with 425 receiving PCIOLs.
  • Intraoperative and postoperative complication rates were comparable to, and in absolute terms lower than, the general patient collective.
  • Specific complications included posterior capsule rupture, corneal decompensation, and anterior chamber hemorrhage, with successful management in most cases.

Impact:

  • Supports the safety and efficacy of PCIOL implantation in functionally monocular eyes.
  • Provides evidence-based recommendations for patient selection, excluding those with proliferative retinopathies, retinal detachments, or unregulated glaucoma.
  • Contributes to optimizing surgical strategies for visually impaired patients with a single functional eye.

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