POSTERIOR CAPSULAR CHANGES AND ITS ASSOCIATION WITH POSTERIOR CHAMBER INTRAOCULAR LENS SURFACE CHANGES AFTER EXTRACAPSULAR CATARACT EXTRACTION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 48
Abstract
BACKGROUND Posterior Capsular Opacification is the most frequent complication of cataract surgery. There are few studies that determine the changes in the lens surfaces with the posterior capsular changes. The objectives of the present study were to report intraocular lens surface changes and posterior capsular changes after extracapsular cataract extraction with posterior chamber intra-ocular lens (ECCE-PCIOL) implantation surgeries, and to determine the factors influencing the anterior surface changes. MATERIALS AND METHODS In an observational study done at Father Muller Medical College Hospital, Kankanady, Mangalore from October 2004 to March 2006, one hundred patients who were undergoing surgery for cataract were recruited. The patients underwent ECCE- PCIOL surgery. Post-operative evaluation was done on the 1st post-op day and at the end of 1st, 3rd, 6th week, 6 months and 9 months. Patients were subjected to slit-lamp evaluation and changes in anterior and posterior surfaces of IOL and posterior capsule were photographically documented. RESULTS In 10% of the patients, there were similar IOL surface changes and PC changes that are statistically insignificant. There was no statistical significance in IOL surface changes with PC changes seen in other factors like systemic diseases i.e., diabetes, hypertension, type of surgery i.e. small incision cataract surgery (SICS) and extracapsular cataract surgery (ECCE), type of capsulotomy. The significant statistical association between IOL surface changes and PC changes is seen in intraocular lens (IOL) sulcus insertion. There was no significant association between anterior and posterior IOL surface changes with posterior capsular changes after ECCE-PCIOL surgeries. CONCLUSION There is significant association between the intraocular lens surface changes and posterior capsular changes in “IOL-sulcus insertion” when compared to “IOL-bag insertion”. There is no significant association between intraocular lens surface changes and posterior capsular changes after extracapsular cataract extraction–posterior chamber intraocular lens implantation surgery. Type of surgery, type of capsulotomy (can-opener and capsulorhexis) and systemic diseases have no significant effect on similar intraocular lens surface changes and posterior capsular changes.
Authors and Affiliations
Nameeth D. A. D’souza, Prashanthkumar Narayan Achar
Keywords
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- EP ID EP218686
- DOI 10.14260/Jemds/2017/798
- Views 69
- Downloads 0
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