Endocapsular cataract extraction.
Identifieur interne : 009852 ( Main/Curation ); précédent : 009851; suivant : 009853Endocapsular cataract extraction.
Auteurs : P H Rosen [Royaume-Uni] ; J M Twomey ; C M KirknessSource :
- Eye (London, England) [ 0950-222X ] ; 1989.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Cataract Extraction.
- anatomy & histology : Cornea.
- etiology : Iris Diseases.
- methods : Cataract Extraction.
- Adult, Aged, Aged, 80 and over, Humans, Middle Aged, Preoperative Care, Prognosis, Random Allocation, Visual Acuity.
Abstract
Endocapsular (intercapsular) cataract surgery has recently gained popularity, particularly in Europe. We describe our technique of endocapsular cataract extraction and insertion of an intraocular lens and prospectively compare 93 eyes which underwent endocapsular cataract extraction with 83 which underwent a standard extracapsular procedure. There was no apparent difference between the two groups in visual outcome. Preoperative and post-operative complications were more common in the endocapsular group: posterior synechiae formation in the latter occurred in 19%. In 90% of the endocapsular cataract extractions, the lens was placed 'in the bag' at the time of surgery but at three months only 53% remained 'in the bag'. Displacement of one haptic from the capsular bag was associated with symptomatic lens decentration requiring repositioning in four eyes in the endocapsular group and two eyes in the extracapsular group.
DOI: 10.1038/eye.1989.103
PubMed: 2630344
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pubmed:2630344Le document en format XML
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<affiliation wicri:level="3"><nlm:affiliation>Moorfields Eye Hospital, London.</nlm:affiliation>
<country>Royaume-Uni</country>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
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<wicri:orgArea>Moorfields Eye Hospital</wicri:orgArea>
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<author><name sortKey="Twomey, J M" sort="Twomey, J M" uniqKey="Twomey J" first="J M" last="Twomey">J M Twomey</name>
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<author><name sortKey="Kirkness, C M" sort="Kirkness, C M" uniqKey="Kirkness C" first="C M" last="Kirkness">C M Kirkness</name>
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<affiliation wicri:level="3"><nlm:affiliation>Moorfields Eye Hospital, London.</nlm:affiliation>
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<series><title level="j">Eye (London, England)</title>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cataract Extraction (adverse effects)</term>
<term>Cataract Extraction (methods)</term>
<term>Cornea (anatomy & histology)</term>
<term>Humans</term>
<term>Iris Diseases (etiology)</term>
<term>Middle Aged</term>
<term>Preoperative Care</term>
<term>Prognosis</term>
<term>Random Allocation</term>
<term>Visual Acuity</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Cataract Extraction</term>
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<keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Cornea</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Iris Diseases</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cataract Extraction</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Preoperative Care</term>
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<front><div type="abstract" xml:lang="en">Endocapsular (intercapsular) cataract surgery has recently gained popularity, particularly in Europe. We describe our technique of endocapsular cataract extraction and insertion of an intraocular lens and prospectively compare 93 eyes which underwent endocapsular cataract extraction with 83 which underwent a standard extracapsular procedure. There was no apparent difference between the two groups in visual outcome. Preoperative and post-operative complications were more common in the endocapsular group: posterior synechiae formation in the latter occurred in 19%. In 90% of the endocapsular cataract extractions, the lens was placed 'in the bag' at the time of surgery but at three months only 53% remained 'in the bag'. Displacement of one haptic from the capsular bag was associated with symptomatic lens decentration requiring repositioning in four eyes in the endocapsular group and two eyes in the extracapsular group.</div>
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