PMID: 9530604Apr 8, 1998Paper

Phacoemulsification of white mature cataracts

Journal of Cataract and Refractive Surgery
A VasavadaJ Desai

Abstract

To evaluate the intraoperative difficulties associated with phacoemulsification of white mature cataracts and develop a strategy for consistently achieving continuous curvilinear capsulorhexis (CCC) in these cases. Raghudeep Eye Clinic, Iladevi Cataract & IOL Research Centre, Ahmedabad, India. This prospective study comprised 60 eyes of 60 patients with senile white mature cataract. Mean follow-up was 7 months. Detailed preoperative and intraoperative notes were made including intraoperative subjective assessment of the intracapsular pressure and cataract hardness. A small capsulorhexis was attempted initially. Endophacoemulsification was performed using the stop, chop, chop, and stuff technique. The capsulorhexis was enlarged before intraocular lens implantation. An initial cut in the capsulorhexis margin was made with a cystotome needle while a spatula supported the anterior capsule. The capsulorhexis was then enlarged with forceps. A CCC was achieved in 57 eyes (95%). Intracapsular pressure was judged to be raised in 24 eyes (40%). Of these, CCC was accomplished in 21 eyes (88%). Statistical analysis confirmed that raised intracapsular pressure was a significant factor. Capsule opacification or plaque was detected at the end...Continue Reading

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Citations

Nov 26, 1999·Ophthalmology·P D BrazitikosN T Stangos
Sep 29, 2000·Journal of Cataract and Refractive Surgery·K UnlüM Erdinc
Nov 21, 2000·Journal of Cataract and Refractive Surgery·T H Newsom, T A Oetting
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