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NR 10-12/2005
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Visual function and
late complications after cataract surgery by phacoemulsification
with primary posterior capsulotomy and intracapsular foldable
intraocular lens implantation
Ocena funkcji wzroku oraz
późnych powikłań po operacji zaćmy metodą fakoemulsyfikacji z
jednoczesną kapsulotomią tylną oraz wszczepem dotorebkowym
zwijalnych soczewek wewnątrzgałkowych
Wojciech Lubiński, Dariusz Łąk, Jolanta
Gronkowska, Krzysztof Szmatłoch, Krzysztof Barnyk, Danuta
Karczewicz.
Clinic of Ophthalmology, Pomeranian Medical University,
Szczecin, Poland
Head: Danuta Karczewicz Prof. MD, PhD |
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| Summary: |
Purpose: Evaluation
of visual function and late complications after cataract
phacoemulsification with primary posterior capsulotomy
and intracapsular foldable intraocular lens implantation
in 22-months follow-up.
Material and methods: Twenty five eyes of 25
patients (mean age: 53 years) were included in the study.
All the eyes underwent primary posterior thermal
capsulotomy and in-the-bag foldable IOL (Acrysof)
implantation. Postoperative visual acuity and
complications were analyzed.
Results: The best corrected visual acuity 1.0 (Snellen
chart) was achieved in 92% (23/25) of the eyes. The most
frequent complication was a slight vitreous dislocation
to the anterior chamber (4/25 of eyes – 16%), resulting
in the pupil deformation in two eyes (2/25 of eyes – 8%)
In one eye (1/25 of eyes – 4%) retinal detachment was
observed. None of the patients presented CME.
Conclusions: A very good visual function and low
rate of serious late complications suggest, that
cataract phacoemulsification with primary posterior
capsulotomy and in-the-bag foldable IOL implantation
should be taken into consideration, as an option for
preventing PCO. The results of the present study suggest
the risk of retinal detachment and CME does not appear,
to increase after the primary posterior capsulotomy.
However, this conclusion has to be confirmed by
randomized studies with longer follow-up period and
larger series of patients. |
| Słowa kluczowe: |
operacja zaćmy,
fakoemulsyfikacja, wszczep soczewki, pierwotna
kapsulotomia tylna, funkcja wzroku, powikłania późne. |
| Key words: |
cataract surgery,
phacoemulsification, IOL implantation, primary posterior
capsulotomy, visual function, late complications. |
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