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Session Title: Surgical Outcomes
Session Date/Time: Monday 07/10/2013 | 08:00-09:30
Paper Time: 08:27
Venue: Auditorium (First Floor)
First Author: : G.Carifi UK
Co Author(s): : C. Pitsas N. Kopsachilis V. Zygoura
To investigate the incidence of intraoperative complications, and the possible associations, in highly myopic patients.
Moorfields Eye Hospital, London, UK
Consecutive series of highly myopic eyes (?26mm) undergoing phacoemulsification cataract surgery over a 6-month period. A serious capsule complication was defined as the presence of vitreous loss, zonular dyalisis, or posterior capsule rupture. We investigated the association with surgeon grade, laterality, previous vitreoretinal surgery, axial length (AL), anterior chamber depth (ACD), average corneal power, type of biometry (ultrasound VS optical), and type of IOL (1-piece VS 3-piece).
We studied 214 eyes of 154 patients who underwent cataract surgery. Thirteen eyes (6.1%) encountered an intraoperative complication; in 5 eyes (2.3%) a serious capsule complication occurred, and 4 (1.9%) were complicated by an anterior capsule tear. Wound burn (2 cases), leaky wound (1 case), and iris prolapse (1 case) were the other complications. In the short-term postoperative period, 5 complications were observed: sterile endophthalmitis (1), cystoid macular edema (1), choroidal detachment secondary to leaky wound (1), ocular hypertension (1), and intraocular lens donesis (1). Surgeons in training and greater AL or ACD were the only variables showing a postitive trend for a higher incidence of intraoperative complications. A good visual outcome (better than 0.3 logMAR) was achieved in 15 (93%) of the sixteen eyes experiencing perioperative complications.
The surgical outcomes of modern phacoemulsification cataract surgery in highly myopic eyes showed satisfactory results, with the severe adverse events limited to less than 3% of the cases. An appropriate management of the complications shows that good outcomes are achievable in these cases, with all but one eye achieving a satisfactory postoperative visual outcome.
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