Phacoemulsification of white hypermature cataract

Abstract

Phacoemulsification was successfully and safely performed in appropriately selected patients with white hypermature cataract.

Comparative evaluation of efficacy and safety of ophthalmic viscosurgical devices in phacoemulsification [ISRCTN34957881]

“…It is reported in literature that endothelial cell loss rate after phacoemulsification with IOL implantation is greater in eyes with a hard nucleus than those with a soft nucleus [9-11]. However, statistically, all the three viscosurgical devices were comparable in their endothelial protective capabilities.…”

Phacoemulsification versus manual small-incision cataract surgery for white cataract

“…Table 3 shows the results in other studies that evaluated the safety and efficacy of phacoemulsification in eyes with white cataract. 2,3,[13][14][15][16][17] Although the results seem comparable to those of routine cataract surgery and the visual outcomes excellent, most studies had a small sample size, which calls into question statistical comparisons.…”

A Novel Capsulorhexis Technique in White Cataract Surgery

“…However, phacoemulsification of a white cataract is responsible for particular challenges to the cataract surgeon, as the continuous curvilinear capsulorhexis (CCC) is more difficult to complete because of an increase in intralenticular pressure and occasional leakage of lens matter from the anterior capsule puncture site. [1][2][3][4][5][6] Gimbel et al, in a prospective observational study dealing with intumescent white cataracts, mentioned the advantage of a small continuous curvilinear capsulorhexis, which is secondarily enlarged after aspirating the liquefied milky lens contents (two-stage continuous curvilinear capsulorhexis); it was advocated that this might be a safer approach compared to one-stage capsulorhexis. 7 However, two-stage continuous CCC may prolong the duration of operation.…”