Effect of Continuous Circular Capsulorhexis and Intraocular Lens Fixation on the Blood-Aqueous Barrier

Tsuboi, Shunji

doi:10.1001/archopht.1992.01080200104035

Cited by 26 publications

(8 citation statements)

References 2 publications

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“…The magnitude of the postoperative changes appears to be related to the initial CCC size, although some authors did not find any correlation between these parameters. 11 Tsuboi et al 12 have studied the influence of the CCC and IOL fixation on the blood-aqueous barrier. Their results indicate an unfavorable effect of in-the-bag fixation with a small CCC, and thus a broad contact of the IOL optic with the anterior capsule.…”

Section: Factors That May Contribute To Acomentioning

confidence: 99%

Post cataract-intraocular lens (IOL) surgery opacification

Trivedi

Werner

Apple

et al. 2002

Eye

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Intraocular lens (IOL) implantation has no doubt been one of the most satisfying advances of medicine. Millions of individuals with visual disability or frank blindness from cataracts had and continue to have benefit from this procedure. It has been reported by ophthalmologists that the modern cataract-intraocular lens (IOL) surgery is safe and complication-free most of the time. This makes the watchword for any cataract surgeon to be 'implantation,' 'implantation,' 'implantation.' In the mid1980s, as IOLs were evolving rapidly, the watchword of the implant surgeon was 'fixation,' 'fixation,' 'fixation.' Most techniques, lenses and surgical adjuncts now allow us to achieve the basic requirement for successful IOL implantation, namely longterm stable IOL fixation in the capsular bag.However despite this advancement some items 'slipped through cracks.' In this article, we would like to alert the reader to a new watchword, namely 'opacification,' 'opacification,' 'opacification.' Here we will be talking about the good, the bad, and the ugly. Examples of the 'good' include the recent successes now being achieved in reducing the incidence of posterior capsule opacification. Examples of the 'bad' include various proliferations of anterior capsule cells, problems caused by silicone oil adherence to IOLs and problems with piggyback IOLs. The 'ugly' include the sometimes striking and often visually disabling opacifications occurring on and within IOL optics, both on some modern foldable IOLs as well as a poly(methyl methacrylate) (PMMA) optic degradation occurring with some models a decade or more after implantation.

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Section: Factors That May Contribute To Acomentioning

confidence: 99%

Post cataract-intraocular lens (IOL) surgery opacification

Trivedi

Werner

Apple

et al. 2002

Eye

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“…It has been established that the size of incision, anterior capsulotomy, nucleous extraction and IOL type may influence the inflammatory response [19, 40, 41, 42, 43]. To eliminate the influence of different surgical techniques on early postoperative inflammation, all patients were operated on by two experienced surgeons using the same surgical technique.…”

Section: Discussionmentioning

confidence: 99%

“…ECCEs have been performed more frequently on patients with more mature cataracts [25]. Previous studies have found that phacoemulsification produces less BAB breakdown in the first postoperative month than ECCE [19, 40, 41, 42, 43]. Patients who underwent ECCE had more pronounced aqueous inflammation after surgery than those who underwent phacoemulsification [25].…”

Section: Discussionmentioning

confidence: 99%

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Postoperative Inflammation after Cataract Surgery in Patients with Rheumatoid Arthritis

Pahor

Pahor²,

Gracner

2001

Ophthalmologica

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The purpose of the present study was to assess the influence of preoperative activity of rheumatoid arthritis (RA) on early postoperative anterior chamber inflammation after phacoemulsification and intraocular lens implantation. Twenty-three eyes in 18 patients were included in our study. On the first postoperative day, anterior chamber inflammation was observed in 11 eyes (47.8%). Five days after surgery, we found postoperative inflammation only in 1 eye (4.3%). Keratic precipitates were observed in 1 eye (4.3%) on the second postoperative day. We found no correlation between the extent of anterior chamber inflammation and the preoperative activity of RA. Postoperative anterior chamber inflammation was also not associated with the medical management of RA.

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“…Currently the most commonly used IOLs in practice are the hydrophobic acrylic Intraocular Lenses ( IOLs) 2 . These polymers of acrylate are foldable under room temperature, have very low water content and a high refractive index.…”

Section: 23mentioning

confidence: 99%