1. Miroslav Vukosavljević, Vojno medicinska akademija, Serbia
2. Vladimir Draganić, Milmedic poliklinika, Serbia
COMPLICATED CATARACT PHACOEMULSIFICATION- OUR EXPERIENCE
Draganić V.*, Vukosavljević M.*;Aleksić P *Klinika za očnebolesti, Vojnomedicinska Akademija,Beograd, Srbija
Aim
To present surgical techniques for managing most difficult cases in cataract surgery
Materials and Methods
We present results of 225 consecutive patients (i.e. eyes) that underwent phacoemulsification for complicated cataract in year 2011. Exfoliation syndrome was found in the vast majority of these patients (187 eyes), with different degree of zonular loss and lens instability. Phacoemulsification for uveitic cataract was performed in 29 eyes, and for traumatic cataract in 9 eyes.
Results
Postoperative visual acuity results were ranging from 0.2 to 1.0 in exfoliation syndrome complicated cataract subgroup. Capsular tension ring was implanted in 22 of these eyes, and no major intraoperative complications occured. Low postoperative visual acuity was found in eyes with non-cataract related pathology, e.g. age related macular degeneration, advanced glaucoma etc. In uveitic cataract subgroup postoperative visual acuity results were ranging from counting fingers to 1.0, again depending on coexistant pathology (chronic macular edema, secundary glaucoma, etc.).
Conclusions
Though postoperative visual acuity is not always satisfactory due to coexistant pathology in patients with complicated cataract, most of these eyes nowadays can be managed very successfully. High technology, novel ophthalmic materials and adequate surgical technique, make even complicated cataract surgery safe, with zero or very low complication rate.
Ključne reči :
Tematska oblast:
katarakta
Uvodni rad:
Da
Datum:
26.03.2012.
Br. otvaranja:
747
