Classification method for cataract blindness offers positive visual acuity outcomes
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WASHINGTON — A new surgical classification method for cataract blindness resulted in positive visual acuity outcomes and low complication rates, according to a speaker here.
“Phacoemulsification of these advanced blinded cataracts poses distinct surgical challenges,” Katherine S. Peters, MD, said at the American Society of Cataract and Refractive Surgery meeting. “They are at high risk of many complications including posterior capsular rupture.”
Peters and colleagues conducted a consecutive case series of 325 eyes with advanced cataracts. All patients underwent cataract surgery by a single surgeon. Slit lamp findings were classified by color, and the groups were further subcategorized based on nuclear density.
Eight-eight eyes were classified as white and 237 as dark. At postoperative week 6, uncorrected visual acuity was 20/30, and no visually significant complication rates were observed.
“I think this system is simple, easy to remember and can be very helpful to guide the surgical approach in these challenging cases,” Peters said.
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Peters KS. Phacoemulsification in 325 consecutive eyes with cataract blindness: Novel surgical classification and techniques. Presented at: American Society of Cataract and Refractive Surgery meeting; April 22-26, 2022; Washington.
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