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NR. 3(II)/2004
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Ocena powikłań
śródoperacyjnych i wczesnych powikłań pooperacyjnych
fakoemulsyfikacji zaćmy – badanie 1000 przypadków
Evaluation of intraoperative and early postoperative
complications of phacoemulsification – a study of 1000 cases
Beata Latecka-Krajewska, Michał
Wilczyński, Hanna Grymin, Olena Wilczyńska, Aleksandra Synder,
Wojciech Omulecki
Klinika Chorób Oczu Uniwersytetu Medycznego w Łodzi
Kierownik: dr hab. n. med. Wojciech Omulecki |
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| Summary: |
Purpose:
Retrospective analysis intraoperative and early
postoperative complications of phacoemulsification.
Material and methods: The examined group
consisted of 930 patients (1000 eyes), including 578
women (62.15%) and 352 men (37.85%), aged 21 to 94 years
(mean age 69.45 years, SD ± 12.18). Data were gathered
from case histories of patients who underwent cataract
extraction by phacoemulsification from June 2002 until
June 2003 in the Department of Ophthalmology, Medical
University of Łódź. The evaluated data included: pre-
and postoperative best corrected visual acuity on day 1
and 7, intraocular pressure, pre- and postoperative
condition of eye anterior and posterior segment and the
occurence of intraoperative and early postoperative
complications.
Results: In the majority of patients there were
no intraoperative and early postoperative complications
present. Intraoperative complications were present in 66
eyes (6.6%), early postoperative complications – in 238
eyes (23.8%). The most frequent intraoperative
complication was posterior capsular rupture (52 eyes,
5.2%). In 12 eyes from this group anterior vitrectomy
was performed. In 4 eyes (0.4%) the iris was injured by
the phacoemulsificator tip, there was a considerable
intraoperative pupil constriction in 2 eyes (0.2%), a
dropped fragments of the nucleus in 3 eyes (0.3%) and a
vitreous haemorrhage in 1 eye (0.1%). The most frequent
early postoperative complications were: Descemet folds
(111 eyes, 11.1%) and temporary corneal edema (77 eyes,
7.7%). There was a IOL dislocation in 5 eyes (0.5%), in
2 eyes of this group the intraocular lens was
subsequently repositioned. Two eyes (0.2%) developed
endophthalmitis, in 18 eyes (1.8%) there was a transient
rise in intraocular pressure, and in 7 eyes (0.7%) there
was a trace of blood in the anterior chamber.
Conclusions: Phacoemulsification, a contemporary
standard in cataract surgery, is a safe and effective
procedure. The majority of patients present no
intraoperative complications. A higher percentage of
patients has early postoperative complications, however,
most of them are temporary and do not significantly
influence the final outcome of the procedure. |
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| Key words: |
phacoemulsification,
complications. |
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