Abstract
Purpose
To evaluate a new technique of ‘Layer by Layer’ phacoemulsification in eyes with posterior polar cataract with pre-existing posterior capsular rent (PCR).
Methods
Layer by layer phacoemulsification was performed in eight eyes of eight patients of posterior polar cataract with pre-existing posterior capsular rent. All the patients had evidence of a posterior capsular defect showing presence of iridescent refractile lens particles in vitreous with onion skinning of central dense plaque.
Results
The mean age of the patients was 43.75±2.5 years and six patients were men. All the eyes had vertical posterior capsular defect irrespective of the site of entry of phaco probe. Vitrectomy was not required in any of the eyes. Single piece foldable acrylic intraocular lens was implanted in the bag in all the eyes. The mean preoperative best corrected visual acuity was 0.14±0.05, which improved to 0.77±0.27.
Conclusion
Our technique of ‘Layer by layer’ phacoemulsification is an effective and safe technique for the management of posterior polar cataract with pre-existing PCR.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Osher RH, Yu BC, Koch DD . Posterior polar cataracts: a predisposition to intraoperative posterior capsular rupture. J Cataract Refract Surg 1990; 16: 157–162.
Vasavada A, Singh R . Phacoemulsification in eyes with posterior polar cataract. J Cataract Refract Surg 1999; 25(2): 238–245.
Allen D, Wood C . Minimizing risk to the capsule during surgery for posterior polar cataract. J Cataract Refract Surg 2002; 28: 742–744.
Fine IH, Packer M, Hoffman RS . Management of posterior polar cataract. J Cataract Refract Surg 2003; 29(1): 16–19.
Osher RH . Slow motion phacoemulsification approach [letter]. J Cataract Refract Surg 1993; 19(5): 667.
Vajpayee RB, Sharma N, Dada T, Gupta V, Kumar A, Dada VK . Management of posterior capsule tears. Surv Ophthalmol 2001; 45(6): 473–488.
Kunert KS, Bhartiya P, Dada T, Vajpayee RB . Layer-by-layer phacoemulsification in posterior polar cataracts. XIX Congress of the ESCRS. Amsterdam, 2001.
Vasavada AR, Singh R . Step-by-step chop in situ and separation of very dense cataracts. J Cataract Refract Surg 1998; 24: 156–159.
Masket S . Consultation section. J Cataract Refract Surgery 1997; 23: 819–824.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Vajpayee, R., Sinha, R., Singhvi, A. et al. ‘Layer by layer’ phacoemulsification in posterior polar cataract with pre-existing posterior capsular rent. Eye 22, 1008–1010 (2008). https://doi.org/10.1038/sj.eye.6702795
Received:
Revised:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/sj.eye.6702795
