Volume : 6, Issue : 1, January - 2017
A study of outcome of implanting intraocular lens after posterior capsular rent in phacoemulsification.
Dr Gunjan Tank
Abstract :
<p> <b><span style="font-size:12.0pt;line-height:200%;font-family:"Times New Roman",serif">AIM :</span></b><span style="font-size: 12pt; line-height: 200%; font-family: "Times New Roman", serif;"> To study the visual outcome of IOL implantation after posterior capsular rent and complications associated with it.</span></p> <p class="MsoNormal" style="line-height:200%"><b><span style="font-size:12.0pt;line-height:200%;font-family:"Times New Roman",serif">MATERIAL AND METHODS :</span></b><span style="font-size:12.0pt;line-height:200%; font-family:"Times New Roman",serif"> 29 patients who had posterior capsule rent during cataract surgery, done at our institute during last 3 years were evaluated prospectively and retrospectively. All patients underwent visual acuity testing, slit lamp examination, applanation tononetry and fundoscopy. Results are noted according to type of the cataract, type of IOL used, visual acuity, position of IOL and other complications associated with it.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph; line-height:200%"><b><span style="font-size:12.0pt;line-height:200%;font-family:"Times New Roman",serif">RESULTS :</span></b><span style="font-size:12.0pt;line-height:200%;font-family:"Times New Roman",serif"> </span><span style="font-size:12.0pt; line-height:200%;font-family:"Times New Roman",serif;mso-fareast-font-family: "Arial Unicode MS"">Out of 29 patients, we were able to implant IOL in the bag in 14 (48%) patients. While, in 6 (21%) patients IOL was kept in sulcus, in 5 (17%)patients retroiris claw lens and in 4 (14%) patients sclera fixated IOL was implanted. Visual acuity recorded at the time of study was better than 6/12 in 23 (80%) patients. One patient had visual acuity less than 6/60. Rest 5 (17%) patients were having visual acuity between 6/12 to 6/60. Post operative cystoid macular edema was seen in 8 (27%) patients. None of the patients had corneal decompensation. Raised IOP was seen in 6 (21%) of our patients which were controlled medically and responded to treatment.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph; line-height:200%"><b><span style="font-size:12.0pt;line-height:200%;font-family:"Times New Roman",serif">CONCLUSION :</span></b><span style="font-size:12.0pt;line-height:200%;font-family:"Times New Roman",serif"> IOL implant can safely be done after vitreous loss with reasonable visual results. An adequate and careful anterior vitrectomy helps in keeping the post-operative complications low.</span><span style="font-size:14.0pt;line-height:200%;font-family:"Times New Roman",serif"><o:p></o:p></span></p>
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Cite This Article:
Dr Gunjan Tank, A study of outcome of implanting intraocular lens after posterior capsular rent in phacoemulsification., GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-6, Issue-1, January‾2017