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Updated: Nov 5, 2025

Author Spotlight: Enhancing Visual Outcomes in Cataract Surgery: A Novel Technique to Prevent Posterior Capsular Opacification Through IOL Rotation
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Iris manipulation during phacoemulsification: intraoperative and postoperative complications.

Eric R Williams1, Jennifer L Patnaik1, D Claire Miller1

  • 1Department of Ophthalmology, Sue Anschutz-Rodgers Eye Center, University of Colorado School of Medicine, Aurora, CO 80045, USA.

International Journal of Ophthalmology
|May 20, 2021
PubMed
Summary

Complex cataract surgery with iris manipulation increases postoperative inflammation and intraocular pressure (IOP) spikes. Non-complex cases showed fewer complications overall, highlighting risks associated with advanced phacoemulsification techniques.

Keywords:
inflammationiris manipulationphacoemulsification

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Area of Science:

  • Ophthalmology
  • Surgical Complications
  • Cataract Surgery

Background:

  • Phacoemulsification is a common cataract surgery technique.
  • Complex cases and iris manipulation may influence complication rates.
  • Quantifying these risks is crucial for patient safety.

Purpose of the Study:

  • To compare intraoperative and postoperative complications.
  • Focus on complex phacoemulsification with iris manipulation versus without.
  • Compare against non-complex phacoemulsification cases.

Main Methods:

  • Retrospective review of 5772 phacoemulsification cases (2014-2017).
  • Exclusion criteria applied for intraoperative and postoperative outcomes.
  • Statistical analysis using regression modeling for complication rates and IOP.

Main Results:

  • Complex cases had higher intraoperative complication rates.
  • Phacoemulsification with iris manipulation showed increased postoperative inflammation (OR 2.3).
  • Iris manipulation correlated with significantly higher IOP spikes (P=0.001).

Conclusions:

  • Complex phacoemulsification increases intraoperative risks.
  • Iris manipulation in complex cases elevates postoperative inflammation and IOP spikes.
  • These findings guide risk assessment in advanced cataract surgery.