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K. Qureshi, M. Muhtaseb, A. Ionides; Posterior Polar and Subcapsular Cataracts – Incidence of Surgical Complications in Phacoemulsification . Invest. Ophthalmol. Vis. Sci. 2005;46(13):758.
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Objectives: A prospective study designed to determine the incidence of surgical complications in patients with posterior subcapsular cataracts during routine phacoemulsification procedures in a teaching hospital. Setting Moorfields Hospital Community Eye Service at St George’s Hospital, Tooting, London. Design: Details of any intraoperative complications were collected for 146 consecutive patients with posterior subcapsular cataract having phacoemulsification at our Unit between Nov 2002 and Sept 2004. Results:A total of 10 patients (6.8% )had complications. Posterior capsular rupture occurred in 4/10 cases (2.7% of patients), vitreous loss in 3/10 (2.0%), zonular dehiscence in 2/10 (1.4%), lost nucleus in 1/10 (0.7%), anterior capsule tear in 4/10 (2.7%), iris prolapse in 1/10 (0.7%), and incomplete capsulorrhexis in 1/10 (0.7%). The complication rate was related to the experience of the operating surgeon. Consultants encountered 1 complication in 35 procedures (2.8%), Specialist Registrars 2/51 (3.9%), Fellows 6/46 (13%), Senior House Officers 1/5 (20%) and Non–career grades 3/9 (33.3%). Conclusions: These results infer that there is a higher rate of complication than otherwise expected. This may be a result of increased adherence of the posterior subcapsular plaque to the posterior capsule. Surgeons should be aware of this fact and take adequate measures to minimise complications, such as adequately hydro–delaminate the cataract.
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