Abstract
Purpose
To study a preferred technique of phacoemulsification in eyes with posterior polar cataract and report its outcome.
Methods
Under topical anesthesia, phacoemulsification was carried out after hydrodelination in 23 cases (38 eyes) with ages ranging from 19 to 65 years (mean=33.5 years). Hydrodissection was not performed.
Results
Mean duration of follow-up was 9.5 months. None of the eyes developed posterior capsule rupture, but seven eyes (18.4%) revealed posterior capsule plaque postoperatively, which needed neodymium : YAG laser capsulotomy. Mean visual acuity improved significantly after surgery (P=0.0001, paired t-test); In all, 34 eyes achieved a best-corrected visual acuity of 20/40 or more (89.4%). However, the postoperative visual acuity was less than 20/25 in 11 eyes (28.9%). The causes of the low acuity were amblyopia in eight eyes (21.0%) and macular degeneration due to retinitis pigmentosa in two others (5.2%).
Conclusion
Phacoemulsification is an effective and safe method to treat posterior polar cataract with gentle hydrodelination ‘hydrodissection free phacoemulsification technique’. This is especially true when great attention is paid to the ‘floppy’ posterior capsule. Although previous amblyopia might interfere with excellent surgical outcome in patients with a unilateral or highly asymmetric bilateral cataract, visual acuity improved significantly in most cases.
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Acknowledgements
Ethic approval: The review board and ethical committee of Eye Research Center of Tehran University of Medical Sciences approved the trial.
Competing interests: There is no competing interest.
Informed consent: Written informed consent was obtained from all the patients after complete explanation.
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Siatiri, H., Moghimi, S. Posterior polar cataract: minimizing risk of posterior capsule rupture. Eye 20, 814–816 (2006). https://doi.org/10.1038/sj.eye.6702023
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DOI: https://doi.org/10.1038/sj.eye.6702023
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