1. Vladislav Džinić, Serbia
PHACO CHOP IN CATARACT SURGERY – OUR RESULTS Dzinic Vladislav, Dzinic Miroslav Aim: to show results of cataract surgery using phaco-chop technique in patients with different type of cataract maturity and other ocular co morbidities. Material: 84 eyes (75 patients) undertaken cataract surgery. Mean age was 63±19 years, visual acuity (VA) ranges between L+P+ to 0.7 (Snellen chart), L+P+ in 11 eyes, < 0,1 in 26 eyes ,from 0,1 to 0,3 in 30 eyes,and 17 eyes between 0,3-0,7.Nuclear hardness from N+1 – N +4. Other ocular comorbidities were: corneal opacifications in 4 eyes, 12 eyes with glaucoma, 8 eyes with senile macular degeneration (OCT veryfied), 8 eyes with myopia more than -4.00D, 4 eyes with PEX syndrome, 11 eyes with diabetic retinopathy, 2 eyes after OVCR and one eye with Sy-Fuschs. In all patients coaxial 2.75mm phacoemulsification technique was performed with temporal approach. Follow up visits were conducted at the first and 7-10th day after surgery and 4-6 weeks after the surgery. Results: at the first day after the surgery visual acuity was ≤0.1 in 5 eyes (6%) , from 0,1-0,3 in 30 eyes (36%) , from 0,3-0,7 in 42 eyes (50%), and in 7 eyes (8%) more than 0,7. At the last follw up visit 4-6 weeks after surgery VA was ≤0.1 in 2 eyes, 0,1-0,3 in 4 eyes (5%), from 0,3-0,7 in 13 eyes (16%), and in 65 eyes (77%) more than 0,7. Complications durig surgery includes narrow pupil ≤4mm in 6 eyes, ECCE conversion in 4 eyes, scleral IOL fixation in 2 eyes and additional corneal sutures in 4 eyes. CONCLUSION: this study showed that phaco-chop phacoemulsification is technique of choice for different type of cataracts combined with other ocular co morbidities. Complications which occurred in this study urge the need for careful patients selection and preoperative assessment.
Ključne reči :
Tematska oblast:
katarakta
Uvodni rad:
Da
Datum:
07.04.2012.
Br. otvaranja:
718
