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NR 1-2/2004
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Analiza powikłań
fakoemulsyfikacji w trakcie opanowywania metody
Analysis of complications
after phacoemulsifications during mastering the method
Grażyna Popiela, Jolanta Markuszewska,
Joanna Chełstowska, Marek Szaliński
Z Katedry i Kliniki Okulistyki Akademii Medycznej we Wrocławiu
Kierownik: prof. dr hab. n. med. Maria Hanna Niżankowska |
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| Summary: |
Purpose:
Intra-operative and postoperative complications of the
first 50 phacoemulsifications were evaluated. The
procedures were performed by one, skilled at ECCE
surgeon. The phaco-chop technique was carried out in all
cases with use of anterior chamber maintainer (ACM).
Material and methods: Eyes for surgery met the
requirements: normal cornea, presence of red reflex from
the fundus and correct lens position. The patients were
divided into 2 groups: I group – 25 eyes had first
surgery, II group – 25 eyes had second surgery. On the
first day after surgery complications and uncorrected
acuity were evaluated.
Results: 50 eyes of 48 patients underwent
operation. The mean age was 69,4 years 5% eyes had
previous surgical record: 4 – underwent trabeculectomy,
1 – pars plana vitrectomy. The 12 intra-operative
complications appeared in 10 eyes (20%): posterior
capsule rupture without vitreous loss in 4% and 10% with
vitreous loss, Descemet membrane detachment in 4%, iris
dialysis in 2%, and persistent iris damage without
sphincter disruption in 4%. The 16 postoperative
complications concerned 10 eyes (20%): corneal oedema in
20%, transient intra-ocular pressure raise in 8%,
hyphaema in 2%, and fibrin exudation in 2%. The majority
of complications concerned the I group of eyes. The
uncorrected visual acuity was 0,5 or better in 80% of
eyes, on the first day after the operation.
Conclusions: The use of ACM made the first steps
in phacoemulsification rate during the learning course. |
| Słowa kluczowe: |
fakoemulsyfikacja, kaniula
infuzyjna, powikłania. |
| Key words: |
phacoemulsification rate,
anterior chamber maintainer. |
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