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NR. 3(II)/2004
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Przypadki powikłań w
trakcie skomplikowanych kapsuloreksis
Cases of complications during complex capsulorhexis
Ryszard Klepacki, Maciej Klepacki
Oddział Okulistyczny Szpitala Wojewódzkiego w Bielsku-Białej
Ordynator: dr med. Ryszard Klepacki |
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| Summary: |
Objective: 2 cases
of patients (3 eyes) with complicated capsulorhexis
presentation.
Material: Case 1: 63 years old female patient,
who underwent surgery on thyroid gland (thyroidectomia)
in March 2003. In December 2003 patient developed tetany
(proper treatment was introduced). In February 2004
during examination we found mature cataract in left eye.
In following two weeks patient developed intumescent
cataract of that eye. We decided to perform cataract
surgery. During capsulorhexis tear of anterior capsule
leading to equator on both oposit sides occured. After
one month the same situation repeated in the other eye.
Case 2: 55 years old male patient, who suffered
electric shock in left ciliary and upper palpebral
region that led to tissues necrosis 12 years ago.
Reconstruction was then performed. Currently patient
developed cataract with anterior capsule calcification.
Results: In both cases, in all eyes we managed to
implant IOL’s into the capsule bag. In three months
observation period we did not observe lenses dislocation.
Conclusion: Despite intraoperational dificulties
we should try to perform phacoemulsification and implant
IOL (if it is possible) into capsule bag. |
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| Key words: |
phacoemulsification,
capsulorhexis. |
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