The evaluation of the risk factors for capsular complications in phacoemulsification

Ergun, Şule Berk; Kocamış, Sücattin İlker; Çakmak, Hasan Basri; Çağıl, Nurullah

doi:10.1007/s10792-017-0667-3

Cited by 14 publications

(22 citation statements)

References 23 publications

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“…[1][2][3] The risk factors for retained lens fragments include brunescent, mature and posterior polar cataracts, pseudoexfoliation, small pupils, shallow anterior chamber depths, and high myopia. [4][5][6] Following cataract surgery, eyes with retained lens fragments have an increased risk of uveitis, glaucoma, corneal and cystoid macular edema, and retinal detachment. 1,3,7,8 With the exception of mild self-resolving cases, pars plana vitrectomy (PPV) remains the sole effective strategy to definitively remove lens fragments, reduce intraocular inflammation and pressure, and improve visual acuity.…”

Section: Introductionmentioning

confidence: 99%

Contemporary Outcomes and Prognostic Factors of 23-Gauge Vitrectomy for Retained Lens Fragments After Phacoemulsification

Chan

Yang

Eldeeb

et al. 2020

American Journal of Ophthalmology

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Introductionmentioning

confidence: 99%

Contemporary Outcomes and Prognostic Factors of 23-Gauge Vitrectomy for Retained Lens Fragments After Phacoemulsification

Chan

Yang

Eldeeb

et al. 2020

American Journal of Ophthalmology

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“…To our knowledge, this is only the second study to evaluate the risk of PCR in patients with T2DM without DR and has a larger sample size (Ergun et al. 2018). Additionally, this is the first study we are aware of to analyse the risk of PCR based on diabetes status while accounting for the presence of previous IVI.…”

Section: Discussionmentioning

confidence: 99%

Risk of posterior capsule rupture in patients with type 2 diabetes mellitus and diabetic retinopathy during phacoemulsification cataract surgery

Dawson

Patnaik

Wildes

et al. 2022

Acta Ophthalmologica

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Purpose: To determine whether type 2 diabetes mellitus (T2DM) with and without diabetic retinopathy (DR) is independent risk factor for posterior capsular rupture (PCR) during cataract surgery. Methods: A retrospective study was conducted from 2014 to 2019. Patients from the University of Colorado Cataract Outcomes Database who had undergone phacoemulsification cataract surgery were included. Patients with traumatic, congenital or polar cataracts, type 1 diabetes or less than 18 years old were excluded. The primary outcome was incidence of PCR during surgery in patients with T2DM with and without DR, accounting for previous intravitreal anti-VEGF injections (IVI). Results: A total of 6636 patients were included. A PCR occurred in 59 (0.5%) of 10 893 eyes studied: 35 (0.4%) eyes in patients without diabetes, comparatively to 13 (0.7%) eyes with T2DM without DR (p = 0.142) and 11 (1.8%) eyes with DR (p < 0.0001). All groups with previous IVI demonstrated a significant increase in PCR compared with eyes without IVI or T2DM. In the absence of IVI, T2DM without DR was not significant (p = 0.520), but T2DM with DR had a significantly increased risk of PCR in univariate analysis (OR 3.55, 95% CI: 1.49,8.50, p = 0.004) and an increased risk of borderline significance in multivariate analysis (AOR 2.33, 95% CI: 0.98, 5.56, p = 0.056). Conclusion: Previous IVI is an independent risk factor for PCR. Diabetic retinopathy without previous IVI is likely a risk factor but was of borderline significance due to small sample size. Consideration of PCR risk should be given during surgical planning for patients with DR and/or previous IVI.

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“…We performed a literature review on cataract surgery risk for intraoperative complications and their associations with postoperative outcomes. Based on previous literature (5,(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26), we identified several pre-operative factors that have the potential to increase surgery difficulty and complication risk. Further details about each risk score are provided in Supplementary Table 1.…”

Section: Cataract Surgery Complication Risk Scoringmentioning

confidence: 99%

Predictors of visual acuity improvement after phacoemulsification cataract surgery

et al. 2022

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PurposeThis study aimed to assess preoperative predictors of visual outcome after phacoemulsification cataract surgery in Jordan, a Middle Eastern country.MethodsThis was a retrospective longitudinal study of adult patients who underwent phacoemulsification cataract surgery from January 2019 to July 2021. For each patient, we included only the first operated eye. We obtained pre-operative ocular history, cataract surgery complication risk based on a predesigned score, visual acuity, best correction, and best corrected visual acuity. We recorded intraoperative complications. We also obtained postoperative best corrected visual acuity and refractive error for correction after 1–3 months.ResultsA total of 1,370 patients were included in this study, with a mean age of 66.39 (± 9.48). 48.4% of patients achieved visual acuity ≥ 0.8, and 72.7% achieved visual acuity ≥ 0.5. The mean visual acuity improvement after phacoemulsification cataract surgery was 0.33 (95% CI 0.31–0.35). In the regression model, significant predictors that affected visual acuity improvement included the presence of diabetic retinopathy, glaucoma, and complication risk factors (i.e., high-risk surgery).ConclusionPredictors of visual acuity improvement vary between studies. This study was conducted in a developing country; we defined predictors of visual acuity improvement. We also provided a new preoperative phacoemulsification cataract surgery complication risk score.

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The evaluation of the risk factors for capsular complications in phacoemulsification

Abstract: Higher-risk cases can be predicted preoperatively, thus allowing surgeons to take appropriate precautions, better informing the patient and better selecting the cases especially for trainee surgeons.

Cited by 14 publications

References 23 publications

Contemporary Outcomes and Prognostic Factors of 23-Gauge Vitrectomy for Retained Lens Fragments After Phacoemulsification

Contemporary Outcomes and Prognostic Factors of 23-Gauge Vitrectomy for Retained Lens Fragments After Phacoemulsification

Risk of posterior capsule rupture in patients with type 2 diabetes mellitus and diabetic retinopathy during phacoemulsification cataract surgery

Predictors of visual acuity improvement after phacoemulsification cataract surgery

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