Abstract | BACKGROUND: PATIENTS AND METHODS: A prospective randomized study comprised 94 eyes with cataract, pseudoexfoliation syndrome, small pupil and slight to moderate phacodonesis. These eyes were randomly assigned into two groups. In the first group all patients (47 eyes) were operated on using a standard phacoemulsification technique (iris hooks, anterior capsule staining and capsular tension ring after capsulorhexis), while in the second group all patients (47 eyes) underwent a classic extracapsular cataract extraction. The main outcome measures were the frequency of intraoperative zonular tears, capsular rupture, vitreous loss and corneal edema, as well as the best-corrected visual acuity. RESULTS: Intraoperative zonular separation was recorded in one eye (2.1 %) and in 15 eyes (31.9 %) for the first and second groups, respectively (P < 0.001). Posterior capsule rupture with or without zonular separation occurred in two eyes (4.2 %) of the first group and in eight eyes (17.0 %) of the second group (P < 0.05). Vitreous loss also had a higher rate in the second group (17.0 % versus 4.2 %, P < 0.05). The postoperative difference in best-corrected visual acuity was also significant between the two groups, being higher in patients operated on using phacoemulsification technique (P < 0.001). CONCLUSIONS:
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Authors | J M Katsimpris, I K Petropoulos, K Apostolakis, D Feretis |
Journal | Klinische Monatsblatter fur Augenheilkunde
(Klin Monbl Augenheilkd)
Vol. 221
Issue 5
Pg. 328-33
(May 2004)
ISSN: 0023-2165 [Print] Germany |
PMID | 15162273
(Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial)
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Topics |
- Aged
- Aged, 80 and over
- Capsulorhexis
- Cataract Extraction
- Exfoliation Syndrome
(surgery)
- Female
- Humans
- Intraoperative Complications
(etiology)
- Lens Capsule, Crystalline
(injuries)
- Male
- Miosis
(surgery)
- Ophthalmoscopy
- Outcome and Process Assessment, Health Care
- Phacoemulsification
- Postoperative Complications
(etiology)
- Prospective Studies
- Rupture
- Visual Acuity
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