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Updated: Nov 15, 2025

Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears
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Associations in corticocapsular adhesions.

Ahmad M Mansour1,2, Iqbal Ike K Ahmed3, Abdul Razzak Charbaji4,5

  • 1Department of Ophthalmology, American University of Beirut, Beirut, Lebanon. ammansourmd@gmail.com.

Eye (London, England)
|March 6, 2021
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Summary

Patient factors like diabetes, advanced age, and posterior subcapsular cataracts increase the risk of intraoperative corticocapsular adhesions (CCA) during cataract surgery. These findings aid in surgical planning for phacoemulsification cataract extraction (PCE).

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Area of Science:

  • Ophthalmology
  • Surgical Science

Background:

  • Intraoperative corticocapsular adhesions (CCA) can complicate phacoemulsification cataract extraction (PCE).
  • Identifying patient-related risk factors is crucial for surgical preparedness and management.

Purpose of the Study:

  • To investigate patient-specific factors associated with the development of intraoperative CCA during PCE.

Main Methods:

  • A prospective, multi-year study involving a single surgeon and consecutive patients undergoing PCE.
  • Data collected included patient demographics, medical history, and intraoperative findings of CCA.
  • Multivariable analysis was used to identify significant contributing factors.

Main Results:

  • Over 10 years, 1097 eyes underwent surgery, with 41 cases of intraoperative CCA.
  • Significant associations with CCA included diabetes mellitus (p=0.002), age >80 years (p=0.002), posterior capsular cataract (p=0.046), severe nuclear sclerosis (p=0.004), and absence of pseudo-exfoliation (p=0.043).

Conclusions:

  • Diabetes mellitus, advanced age, and posterior subcapsular cataracts are key patient-related factors linked to intraoperative CCA.
  • These conditions may necessitate more extensive hydrodissection during cataract surgery.