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J.B. Yepez, J. Cedeño de Yepez, O. Azar-Arevalo, J. Arevalo; Intraoperative Peripheral Anterior Capsulotomy (IPAC) to Prevent Early Postoperative Capsular Block Syndrome: 80 Consecutive Cases . Invest. Ophthalmol. Vis. Sci. 2003;44(13):221.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To report a new surgical technique that we have called intraoperative peripheral anterior capsulotomy (IPAC) as an alternative to prevent early postoperative capsular block syndrome (CBS). Methods: A total of 80 consecutive patients (80 eyes) underwent phacoemulsification and intraocular lens (IOL) implantation combined with IPAC in the presence of a small anterior continuous curvilinear capsulorhexis (4.5 to 5 mm) where the risk of development of CBS was dimmed to be higher. Results: Patients have been followed for a mean of 16 months (range: 6-24) months), none of our patients have developed CBS or have developed any other complication. Conclusions: Our series suggests that IPAC may be an alternative to prevent CBS in high-risk eyes including those with a small anterior continuous curvilinear capsulorhexis or viscoelastic trapped in the capsular bag. This new surgical technique is safe, effective, inexpensive, and easy to perform.
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