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Session Title: Surgical Outcomes
Session Date/Time: Monday 07/10/2013 | 08:00-09:30
Paper Time: 08:12
Venue: Auditorium (First Floor)
First Author: : E.Wylegala POLAND
Co Author(s): : A. Nowinska E. Wroblewska-Czajka D. Dobrowolski D. Tarnawska
To asses the feasibility of the intraoperative methods used for anterior eye segment visualization where conventional surgery through a microscope view was not possible due to corneal opacification.
Ophthalmology Department DRH Panewnicka 65, Katowice; Poland
60 eyes of patients with corneal opacification who had undergone phacoemulsification surgery in years 2008-2012 were included in the retrospective study. The study group consisted of 32 eyes with postinfectious vascularized scars, 14 eyes with neurotrophic keratopathy, 9 eyes with aniridia related keratopathy and 5 eyes with Salzmann corneal degeneration. BCVA ranged from light perception to 0,1. All patients undergone phacoemulisification by a single surgeon. Three methods: slit-lamp assistance, transcorneal illumination and endoscopy assistance were used for anterior eye segment visualisation during cataract surgery. The patients were followed up on day 1, day 7, 1 month 3 and 6 months postoperatively.
Described methods allowed the visualization of the capsule and the lens intraoperatively. While slit-lamp assistance and transcorneal illumination were effective in most cases, endoscopy allowed visualization in all cases. IOL implantation was possible in 49 eyes due to the intact posterior capsule. The posterior capsule rupture occurred in 11 eyes followed by anterior vitrectomy. All pseudophakic eyes gained BCVA improvement. Mean postoperative visual acuity in this group was 0.3.
In patients with corneal opacification slit-lamp assistance, transcorneal illumination and endoscopy assistance are effective in gaining the intraoperative anterior eye segment visualization
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