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Subcapsular phacoemulsification and aspiration.

T Hara, T Hara

    Journal - American Intra-Ocular Implant Society
    |January 1, 1984
    PubMed
    Summary
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    Phacoemulsification under the anterior capsule protected the corneal endothelium from ultrasound damage. This technique demonstrated minimal endothelial cell loss and good visual acuity in patients undergoing cataract surgery.

    Area of Science:

    • Ophthalmology
    • Surgical Techniques
    • Corneal Science

    Background:

    • Phacoemulsification is a common cataract surgery method.
    • Protecting the corneal endothelium from ultrasound energy is crucial.
    • Anterior capsule phacoemulsification is a technique to minimize endothelial damage.

    Purpose of the Study:

    • To evaluate the safety and efficacy of phacoemulsification performed under the anterior capsule.
    • To assess the impact of this technique on corneal endothelial cell loss.
    • To determine the long-term visual outcomes and complication rates.

    Main Methods:

    • Phacoemulsification was performed under the anterior capsule in 26 eyes of 21 patients.
    • Patients were followed for a minimum of three years.

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  • Intraocular lenses were implanted in 20 eyes.

    • Main Results:

    • The average corneal endothelial cell loss was 12.0% +/- 7.4% across all eyes.
    • Eyes without intraocular lens implantation showed lower average cell loss (6.9% +/- 3.0%).
    • All patients achieved a best postoperative visual acuity of 20/40 or better, with a 42.3% complication rate.

    Conclusions:

    • Phacoemulsification under the anterior capsule is a safe and effective method for cataract surgery.
    • The technique minimizes corneal endothelial cell loss, preserving endothelial health.
    • Satisfactory visual outcomes and manageable complications were observed.