Article: article d'un périodique ou d'un magazine.
Phakoémulsification et incision en cornée claire: revue des 100 premiers cas [Phacoemulsification and clear cornea incision: review of 100 initial cases]
Klinische Monatsblätter für Augenheilkunde
Date de publication
Publication types: English Abstract ; Journal Article
AIM: Evaluation of complications during the learning period of phacoemulsifications with clear-corneal incision. PATIENTS AND METHODS: Retrospective study of the 100 first cases with a follow-up of 3 to 24 months. RESULTS: During operation, 5 (5%) cases (one 180 degrees dialysis, 4 broken posterior capsules) presented with a significant complication needing anterior vitrectomy. Eight corneal tunnels were sutured at the end of surgery and 3 others a few days later. No case showed signs of intraocular infection. Cystoid macular edema developed in 4 patients who all recovered good visual acuity. Excessive fibrosis of anterior capsule with capsulorhexis contraction was encountered in 2 cases harbouring plate haptic silicone lenses and needed YAG-laser treatment. None of the eyes with complications had visual acuity inferior to 0.6, except for 2 eyes which had preoperative macular diseases. CONCLUSION: This study demonstrates that phacoemulsification with clear cornea incision is a safe procedure, provided that the complications related to the learning period are set apart. None of the complications encountered in our 100 first cases severely prejudiced the functional results.
Adult, Aged, Aged, 80 and over, Clinical Competence, Cornea/surgery, Female, Follow-Up Studies, Humans, Male, Middle Aged, Phacoemulsification/methods, Postoperative Complications/etiology, Postoperative Complications/surgery, Reoperation, Retrospective Studies, Treatment Outcome, Visual Acuity/physiology
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