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NR 1-2/2004
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Zmętnienie tylnej
torebki soczewki jako powikłanie po wszczepach soczewki do
komory tylnej
Posterior capsule
opacification as a complication of the posterior chamber
intraocular lens implantation
Danuta Karczewicz1, Elżbieta
Pieńkowska-Machoy1, Monika Modrzejewska1,
Jolanta Gronkowska2, Zofia Sylwestrzak2
1 Z Katedry Okulistyki z Kliniką i Zakładem
Patofizjologii Narządu Wzroku Pomorskiej Akademii Medycznej
Kierownik: prof. dr hab. n. med. Danuta Karczewicz
2 Z Katedry i Kliniki Okulistyki (WS) Pomorskiej
Akademii Medycznej
Kierownik: prof. dr hab. n. med. Olgierd Palacz |
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| Summary: |
Purpose: The aim of
the study was to evaluate factors possibly effecting the
posterior capsule opacification (PCO), after
extra-capsular cataract extraction with the posterior
chamber intra-ocular lens (IOL) implantation. Age of
patients, refractive errors, technique of cataract
extraction, intra- and postoperative complications and
coexisting diseases were taken into consideration. In
1992-98 posterior laser Nd:YAG capsulotomy was performed
in 222 eyes of 222 patients (134 women and 88 men)
previously operated in Ist and IInd Eye Clinic. PCO
occurred in 5,8% patients, who underwent cataract
extraction in this period, in 5,7% patients operated
with phacoemulsification method and in 5,8% patients
where extra-capsular cataract extraction with nucleus
expulsion was performed. PCO was diagnosed in 12,7%
patients at the age below 30, in 17% aged 31-40, in 7,8%
aged 41-55 and in 5,1% patients older than 55 years.
Among the patients, who developed PCO, in 6,3% myopia
was present, in 8% primary open angle glaucoma, 16,6%
were treated for diabetes mellitus. In 7,6% eyes the
intra-operative cortical clean up was not efficient.
Conclusion: PCO occurred in young patients (under
40) twice as often as in the other groups of age.
Technique of cataract extraction had an influence on the
incidence of PCO as well. |
| Słowa kluczowe: |
zaćma, torba soczewki,
zmętnienie, kapsulotomia |
| Key words: |
cataract, posterior
capsule, opacification, capsulotomy |
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