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Long term complications from extracapsular cataract surgery.

S P Percival

    Transactions of the Ophthalmological Societies of the United Kingdom
    |January 1, 1985
    PubMed
    Summary
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    Extracapsular extraction with lens implantation offers superior long-term visual outcomes compared to intracapsular extraction. Maintaining posterior capsule integrity significantly reduces complications and the need for secondary capsulotomy.

    Area of Science:

    • Ophthalmology
    • Surgical Techniques
    • Intraocular Lenses

    Background:

    • Intracapsular extraction has historically shown variable visual results.
    • The long-term efficacy and complication rates of extracapsular extraction require further investigation.

    Purpose of the Study:

    • To evaluate the long-term visual outcomes and complication rates of extracapsular extraction with lens implantation.
    • To compare the incidence of secondary capsulotomy following different intraocular lens (IOL) implantation techniques.

    Main Methods:

    • Long-term follow-up of patients undergoing extracapsular extraction with capsule-supported lens implantation.
    • Comparison of visual acuity and complication rates between eyes with and without implants, and with different IOL types (Binkhorst, posterior chamber).

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    Main Results:

    • Ninety-six percent of eyes achieved visual acuity of 6/12 or better five years post-extracapsular extraction with lens implantation.
    • Eyes without implants had a 45% rate of secondary capsulotomy within three years, compared to 11% with Binkhorst lenses.
    • Posterior chamber lens implantation further reduced the need for capsulotomy.

    Conclusions:

    • Extracapsular extraction with capsule-supported lens implantation provides superior visual results.
    • Maintaining posterior capsule integrity is crucial for minimizing sight-threatening complications like retinal detachment, especially in high myopes.
    • Posterior chamber lenses may reduce capsulotomy rates and the risk of retinal detachment in high myopia.