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Phacoemulsification in eyes with posterior polar cataract
1Iladevi Cataract & IOL Research Centre, Ahmedabad, India.
Journal of Cataract and Refractive Surgery
|February 10, 1999
Summary
Phacoemulsification in posterior polar cataracts has a high risk of posterior capsule rupture. Careful surgical planning can lead to good visual outcomes despite complications.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Cataract Surgery
Background:
- Posterior polar cataracts present unique surgical challenges.
- Phacoemulsification is a common cataract surgery technique.
Purpose of the Study:
- To evaluate phacoemulsification outcomes in posterior polar developmental cataracts.
- To assess surgical management strategies for these challenging cases.
Main Methods:
- Prospective study of 25 patients undergoing phacoemulsification by a single surgeon.
- Endophacoemulsification performed after hydrodelineation; hydrodissection/rotation avoided.
- 2-port vitrectomy utilized as needed.
Main Results:
- 36% posterior capsule rupture rate; 32% had residual plaques.
- Intraocular lens (IOL) implanted in all eyes; sulcus placement common after rupture.
- Good visual acuity (20/20-20/30) achieved in 72% of patients.
Conclusions:
- Eyes with posterior polar cataracts are prone to posterior capsule rupture.
- Judicious surgical planning is crucial for successful outcomes in these cases.