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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


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


Ophthalmology Clinic Medical University of Silesia, Katowice Poland


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.


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


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

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