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Primary posterior continuous curvilinear capsulorrhexis associated with few complications
Primary posterior continuous curvilinear capsulorrhexis resulted in few complications in cataract patients, according to a study.
The study included 25 eyes of 25 patients with uncomplicated senile cataract but no systemic or ocular disease. The patients underwent phacoemulsification at Zagazig University Hospital in Egypt.
In each patient, a dense posterior capsule opacification was discovered intraoperatively, and after posterior capsule polishing, primary PCCC was performed.
Mean preoperative corrected distance visual acuity was 0.14 ± 0.08. Postoperatively, it was 0.86 ± 0.15 at 1 week, 0.93 ± 0.08 at 1 month and 0.94 ± 0.08 at 3 months (P = .001).
Primary PCCC was completed in all but one eye, which experienced intraoperative posterior capsule extension. That case resulted in an anterior vitrectomy and implantation of a three-piece IOL.
One eye experienced a posterior capsule opening contracture but had no vision loss. No serious complications were reported among the 25 patients.
In part, the study addressed primary PCCC as an alternative to Nd:YAG laser capsulotomy in managing posterior capsule opacification.
“The surgeon might have to consider whether to perform an early Nd:YAG laser capsulotomy or to manage the opacity intraoperatively,” the authors wrote. However, Nd:YAG can have complications, including IOL dislocation or subluxation, increased IOP, cystoid macular edema and retinal detachment. – by Joe Green
Disclosure : The authors report no relevant financial disclosures.
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Al-Nashar HY, et al. J Cataract Refract Surg. 2016;doi:10.1016/j.jcrs.2016.08.026.