Abstract
BackgroundTo evaluate the results and complications of phacoemulsification with hydrodelineation and ophthalmic viscosurgical device (OVD)-assisted hydrodissection for posterior polar cataract (PPC).MethodsMedical records of 24 eyes from 17 patients with clinical diagnosis of PPC, who underwent phacoemulsification with hydrodelineation and OVD-assisted hydrodissection, were retrospectively reviewed.ResultsThe incidence of posterior capsule rupture (PCR) was 16.67% (4/24): 2 cases occurred during epinucleus removal, and 2 cases occurred during OVD removal after the implantation of the intraocular lens into the bag. No nucleus piece or lens materials dropped into the vitreous during cataract surgery, and no obvious postoperative complications were found during follow-up. All patients had improved best-corrected visual acuity (BCVA) 1 month postoperatively.ConclusionOVD-assisted hydrodissection could be an effective technique in phacoemulsification to reduce the incidence of PCR and achieve satisfactory postoperative outcomes.
Highlights
To evaluate the results and complications of phacoemulsification with hydrodelineation and ophthalmic viscosurgical device (OVD)-assisted hydrodissection for posterior polar cataract (PPC)
We retrospectively evaluated the results of our case series of phacoemulsification with hydrodelineation, phacoemulsification of the nucleus, followed by ophthalmic viscosurgical device (OVD)-assisted hydrodissection in PPCs
In total, 24 eyes in 17 patients with clinically diagnosed PPC were enrolled in this study (Table 1)
Summary
To evaluate the results and complications of phacoemulsification with hydrodelineation and ophthalmic viscosurgical device (OVD)-assisted hydrodissection for posterior polar cataract (PPC). No nucleus piece or lens materials dropped into the vitreous during cataract surgery, and no obvious postoperative complications were found during follow-up. PPC presents a special challenge to the phaco surgeon due to its high risk of posterior capsule rupture (PCR), vitreous loss, and even nuclear drop during cataract surgery, which can occur because of extreme weakness, pre-existing dehiscence or tight adherence of opacity in the PC [2]. We retrospectively evaluated the results of our case series of phacoemulsification with hydrodelineation, phacoemulsification of the nucleus, followed by ophthalmic viscosurgical device (OVD)-assisted hydrodissection in PPCs
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
