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Phacoemulsification cataract with IOL implantation using intraoperative optical coherent tomography in patients with corneal opacifications

Poster Details

First Author: E.Wylęgała POLAND

Co Author(s):    D. Dobrowolski   A. Nowinska   E. Wroblewska Czajka   B. Weglarz           

Abstract Details

Purpose:

To estimate the usefulness of the intraoperative OCT in real time used for anterior eye segment.

Setting:

Ophthalmology Clinic Medical University of Silesia, Katowice Poland

Methods:

21 patients (21 eyes) with corneal opacification who had undergone phacoemulsification surgery were included in the prospective study. The study group consisted of 8 eyes with postinfectious vascularized scars, 3 eyes with neurotrophic keratopathy, 2 eyes with aniridia keratopathy and 8 eyes with corneal degeneration. BCVA ranged from light perception to 0,1. Surgical microscope real time intraoperative optical coherent tomopgraphy RT-iOCT RESCAN 700 ( Zeiss) was used. OCT technique for visualization of capsular bag and localization of IOL was used during cataract surgery. The patients were followed up on day 1, day 7, 1 month 3 and 6 months postoperatively.

Results:

IOL implantation was possible in 21 (100%). The posterior capsule rupture occurred in 3 eyes (14%). 3 IOL to the sulcus follow anterior vitrectomy were implanted. All patients achieved BCVA improvement. Mean postoperative visual acuity was 0.2

Conclusions:

RT-iOCT microscope allows easier lens implantation in cases of patients with semitransparent corneas.

Financial Disclosure:

NONE

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