Phacoemulsification in posterior polar cataract: Experience from a tertiary eye care Centre in North India

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dc.contributor.authorMalhotra, Cen_US
dc.contributor.authorDhingra, Den_US
dc.contributor.authorNawani, Nen_US
dc.contributor.authorChakma, Pen_US
dc.contributor.authorJain, AKen_US
dc.date.accessioned2020-04-10T02:07:31Z
dc.date.available2020-04-10T02:07:31Z
dc.date.issued2020-04
dc.description.abstractPurpose: To determine the rate of posterior capsular rupture (PCR) and assess the postoperative outcomes in patients of posterior polar cataract (PPC) undergoing phacoemulsification using a combination of 揤� or �� nucleofractis and viscodissection. Methods: It was a retrospective study of 80 eyes of 64 patients undergoing surgery for PPC. All surgeries were performed by a single surgeon. After completion of the continuous curvilinear capsulorrhexis (CCC), controlled hydrodelineation was used to separate the endonucleus from the epinuclear shell with limited viscodissection. Phacoemulsification was then carried out by making a 揤� or lambda-shaped nucleofractis with the phaco tip followed by multiple chopping of the nucleus, ensuring the integrity of the epinuclear part of the lens. The epinuclear plate was removed after viscodissection. Results: The overall rate of PCR was 7.5% (6 out of 80 eyes). Of the 6 eyes, 4 eyes had been documented to have a pre-existing posterior capsular defect on slit-lamp examination. The rate of 搊n table� PCR, that is, PCR occurring intraoperatively was only 2.6% (2 of 76 eyes). Nucleus drop was not encountered in any case. Overall 87.5% eyes achieved a final visual acuity of 20/40 or better with 68.75% being 20/20 or better. Of the eyes developing PCR, two-third achieved a visual acuity of 20/30 or better. Conclusion: Using a combination of surgical techniques of V groove or lambda technique for nucleofractis and removal of epinucleus by viscodissection can result in a low rate of PCR and extremely good postoperative outcomes in cases of PPC.en_US
dc.identifier.affiliationsAdvanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, Indiaen_US
dc.identifier.citationMalhotra C, Dhingra D, Nawani N, Chakma P, Jain AK. Phacoemulsification in posterior polar cataract: Experience from a tertiary eye care Centre in North India. Indian Journal of Ophthalmology. 2020 Apr; 68(4): 589-594en_US
dc.identifier.issn0301-4738
dc.identifier.issn1998-3689
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/197865
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber4en_US
dc.relation.volume68en_US
dc.source.urihttps://dx.doi.org/10.4103/ijo.IJO_932_19en_US
dc.subjectFemtosecond laser assisted cataract surgeryen_US
dc.subjectFLACSen_US
dc.subjecthydrodelineationen_US
dc.subjectlambda techniqueen_US
dc.subjectposterior polar cataracten_US
dc.subjectV grooveen_US
dc.subjectviscodissectionen_US
dc.titlePhacoemulsification in posterior polar cataract: Experience from a tertiary eye care Centre in North Indiaen_US
dc.typeJournal Articleen_US
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