May 2003
Volume 44, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2003
Intraoperative Peripheral Anterior Capsulotomy (IPAC) to Prevent Early Postoperative Capsular Block Syndrome: 80 Consecutive Cases
Author Affiliations & Notes
  • J.B. Yepez
    Retina and Vitreous, Clinical de Ojos de Maracaibo, Maracaibo, Venezuela
  • J. Cedeño de Yepez
    Retina and Vitreous, Clinical de Ojos de Maracaibo, Maracaibo, Venezuela
  • O. Azar-Arevalo
    Cornea and External Diseases, Clinica Oftalmologica Centro Caracas, Caracas, Venezuela
  • J. Arevalo
    Retina and Vitreous, Clinica Oftalmologica Centro Caracas, Caracas, Venezuela
  • Footnotes
    Commercial Relationships  J.B. Yepez, None; J. Cedeño de Yepez, None; O. Azar-Arevalo, None; J. Arevalo, None.
  • Footnotes
    Support  Fundacion Arevalo-Coutinho para la Investigación en Oftalmología
Investigative Ophthalmology & Visual Science May 2003, Vol.44, 221. doi:
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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)

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Abstract

Abstract: : 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.

Keywords: clinical (human) or epidemiologic studies: tre • clinical (human) or epidemiologic studies: out • treatment outcomes of cataract surgery 
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