Comparison of preoperative Nd:YAG laser anterior capsulotomy versus two-stage curvilinear capsulorhexis in phacoemulsification of white intumescent cataracts

Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye
Roberto P CoelhoIngrid U Scott

Abstract

To compare the results of preoperative Nd:YAG laser anterior capsulotomy versus two-stage continuous curvilinear capsulorhexis (CCC) in phacoemulsification of eyes with white intumescent cataracts and liquefied cortex. Twenty-three eyes with white intumescent cataract were consecutively randomized for phacoemulsification with preoperative Nd:YAG laser anterior capsulotomy (group 1, n = 11) or two-stage CCC (group 2, n = 12) procedures. Intraoperative findings and postoperative outcomes were compared using the nonparametric tests. Postoperative visual acuity, mean surgical time, mean effective phacoemulsification time, and frequency of complications were not significantly different between the two groups (P > .05). Two cases in each group were converted to the extracapsular technique. Excluding these four patients, surgical time was shorter in group 1 (P = .017). Preoperative Nd:YAG laser anterior capsulotomy is a safe technique in decompressing the capsular bag before phacoemulsification of white intumescent cataracts with liquefied cortex.

References

Sep 1, 1993·Journal of Cataract and Refractive Surgery·H V Gimbel, A B Willerscheidt
Apr 8, 1998·Journal of Cataract and Refractive Surgery·A VasavadaJ Desai
Jul 31, 1998·Journal of Cataract and Refractive Surgery·P Brusini
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Sep 5, 2003·Journal of Cataract and Refractive Surgery·Josephine C Richards, Dale C Harrison

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Citations

Apr 29, 2014·Journal of Cataract and Refractive Surgery·Matthew A Powers, Malik Y Kahook
Mar 15, 2011·Journal of Cataract and Refractive Surgery·Ramon Naranjo TackmanKeith Edwards
Aug 18, 2016·Journal of Cataract and Refractive Surgery·Selim GençYusuf Özertürk
Oct 11, 2016·Journal of Refractive Surgery·Malik Y KahookHarvey S Uy

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