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Phacoemulsification of hard cataracts without vitreous support

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Session Details

Session Title: Cataract
Session Date/Time: Saturday 10/02/2018 | 08:30-11:00
Paper Time: 08:30
Venue: Blue Hall

First Author: S.Shukhaev RUSSIA
Co Author(s): E. Boiko                 

Abstract Details


To assess the results of the phacoemulsification of hard cataracts on post vitrectomised eyes


S. Fyodorov Eye Microsurgery Federal State Institution. Saint-Petersburg.


This study included 20 patients with nuclear cataracts with NC 5+ density according LOCS III classification system. All patients underwent posterior vitrectomy more then 3 years ago (4.5 +/- 3.1). In seven cases phacodonesis of varying degrees were diagnosed prior to the surgery. All patients were scheduled microcoaxial phacoemulsification.


In 19 cases (95%) sutureless phacoemulsification were performed successfully. In 7 cases (35%) with phacodonesis, capsular support hooks were used in order to stabilize capsular bag. 4 hooks were placed in 3 cases (15%) and in one of them (5%) due to a high risk of nucleus dislocation into vitreus cavity the surgery were converted into large incision surgery. The surgery were finished sutureless in all cases when 6 hooks were placed (n=4, 20%).


System of capsule support hooks significantly increases the chances of successful sutureless phacoemulsification of hard cataracts without vitreous support.

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