Posterior polar cataract: minimizing risk of posterior capsule rupture

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Visual outcome following posterior capsule rupture during cataract surgery.

AIM To determine the relative risk of a poor visual outcome following posterior capsule rupture during cataract surgery. METHODS Prospective data were collected on consecutive eyes undergoing cataract extraction. The patient's age, preoperative visual acuity, ocular comorbidity, grade of surgeon, and operative complications were documented. The best spectacle corrected visual acuity was recor...

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Management of posterior polar cataract.

In this technique for managing posterior polar cataract, extreme care is taken not to overpressurize the anterior chamber or capsular bag to prevent posterior capsule rupture. Minimal hydrodissection and hydrodelineation are performed. The nucleus is extracted using minimal ultrasound energy. Viscodissection is used as a primary technique to mobilize the epinucleus and cortex. A protective laye...

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Posterior polar cataract: A review.

Posterior polar cataract is a rare form of congenital cataract. It is usually inherited as an autosomal dominant disease, yet it can be sporadic. Five genes have been attributed to the formation of this disease. It is highly associated with complications during surgery, such as posterior capsule rupture and nucleus drop. The reason for this high complication rate is the strong adherence of the ...

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Approaches to a posterior polar cataract.

Posterior polar cataracts present special challenges to the cataract surgeon. These are often associated with weakness/dehiscence of the posterior capsule and thus have a higher rate of intraoperative posterior capsule rupture. The surgeon needs to adhere to special surgical strategies to minimize the risk of a posterior capsule rupture. These include, adhering to the principles of closed chamb...

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ژورنال

عنوان ژورنال: Eye

سال: 2007

ISSN: 0950-222X,1476-5454

DOI: 10.1038/sj.eye.6702677