A comparative study of the efficacy and safety of Phacoemulsifacation in white mature and other types of senile cataracts

Ravindra kumar Meena, J K Chouhan, Pankaj Sharma, Ashok Meena, Devesh Sharma

Abstract


Introduction: Phacoemulsification in white mature cataract is one of the most difficult anterior segment procedure. Our purpose to conduct this study was to compare the outcome of Phacoemulsification in white mature and other type (immature cortical, nuclear, posterior subcapsular and mixed cataract) of senile cataract. Methods: This is a hospital based observational Study conducted on 100 patients of cataract (49 male and 51 female) in the upgraded department of Ophthalmology, SMS Medical college Jaipur subjected to clear corneal temporal phacoemulsification with foldable IOL. Postoperative outcome, intraoperative difficulties were analyzed between two groups. Postoperative examination were done at 1st, 3rd, 7th, 30th & 45thday. Results: Intraoperative difficulties, postoperative corneal oedema, mean IOP changes & postoperative BCVA were not significantly different between two groups (p>0.05). Mean effective phaco time between two groups was found to be significantly higher in white mature cataract group (p<0.01).Conclusion: The Phacoemulsification is equally safe and efficacious in white mature senile cataracts as in other senile cataracts.

Full Text:

PDF HTML

References


Ermiss SS, Ozturk F, Inan UU.Comparing the efficacy and safety of phacoemulsification in white mature and other types of senile cataract. Br J Ophthalmol. 2003 Nov;87(11):1356-9.

Kothari K, Jain SS, Shah NJ. Anterior capsular staining with trypan blue for capsulorhexis in mature and hypermature cataracts. A preliminary study. Indian J Ophthalmol. 2001 Sep;49(3):177-80.

Susić N, Brajković J, Susić E, Kalauz-Surać I. Phacoemulsification in eyes with white cataract. Acta Clin Croat. 2010 Sep;49(3):343-5.

Istiantoro Soekardi, Nandia Primadina. Surgical outcome of phacofragmentation and phacoemulsification in senile white mature cataract. Med J Indones 2003; 12: 94-102. Doi: http://dx.doi.org/10.13181/mji.v12i2.98

Gimbel HV, Neuhann T. Development, advantages and methods of the continuous circular capsulorhexis technique. J Cataract Refract Surg. 1990;16: 31–37.

Melles GR, de Waard PW, Pameyer JH, Beekhuis WH. Trypan blue capsule staining to visualize the capsulorhexis in cataract surgery. J Cataract Refract Surg. 1999 Jan;25(1):7-9.

Jacob S, Agarwal A, Agarwal A, Agarwal S, Patel N, Lal V. Trypan blue as an adjunct for safe phacoemulsification in eyes with white cataract. J Cataract Refract Surg. 2002 Oct;28(10):1819-25.

Pandey SK, Werner L, Escobar-Gomez M, Roig-Melo EA, Apple DJ. Dye-enhanced cataract surgery: Part 1: anterior capsule staining for capsulorhexis in advanced/white cataract. J Cataract Refract Surg. 2000 Jul;26(7):1052-9.

Vajpayee RB, Angra SK, Honavar SG, Katoch S, Prasad N, Bansal A et al. Capsulotomy for phacoemulsification in hypermature cataracts. . J Cataract Refract Surg. 1995; 21(6): 612-15.

Dada VK,Sharma N,Sudan R,Sethi H,Dada T.anterior capsule staining for capsulorrhexis in cases of white cataract:comparative clinical study.J Cataract Refract Surg.20004 feb;30(2):326-33

Newton Kara-Junior, Marcony Rodrigues de Santhiago, Andrea Kawakami, Pedro Carricondo, and Wilson Takashi Hida Mini-Rhexis For White Intumescent Cataracts Clinics (Sao Paulo). 2009 Apr; 64(4): 309–12.

Khan HA, Leibowitz HM, Ganley JP. The Framingham Eye Study. I. Outline and major prevalence findings. Am J Epidemiol. 1977; 106(1): 17-32

Chatterjee A, Milton RC, Thyle S.Prevalence and aetiology of cataract in Punjab. Br J Ophthalmol. 1982 Jan;66(1):35-42.

Tabbara KF, Ross-Degnan D: Blindness in Saudi Arabia. JAMA. 1986 Jun 27;255(24):3378-84.

Klein BE, Klein R, Linton KL. Prevalence of age-related opacities in a population. The Beaver Dam Eye Study. Ophthalmology. 1992 Apr;99(4):546-52.

Katoh N, Jonasson F, Sasaki H, Kojima M, Ono M, Takahashi N, Sasaki K; Reykjavik Eye Study Group Cortical lens opacification in Iceland. Risk factor analysis -- Reykjavik Eye Study. Acta Ophthalmol Scand. 2001 Apr;79(2):154-9.

Congdon N, West SK, Buhrmann RR, Kouzis A, Muñoz B, Mkocha H. Prevalence of different types of age related cataract in African populations. Invest Ophthalmol Vis Sci. 2001 Oct;42(11):2478-82.

McCarty CA, Mukesh BN, Fu CL, et al. The epidemiology of cataract in Australia. Am J Ophthalmol. 1999 Oct;128(4):446-6.

Tan AG, Wang JJ, Rochtchina E. and Mitchell P. Comparison of age-specific cataract prevalence in two population-based surveys 6 years apart.. BMC Ophthalmol. 2006 Apr 20;6:17.

Vashist Praveen , Talwar Badrinath, Gogoi Madhurjya, Maraini Giovanni, Camparini Monica , Ravilla D. Ravindran,Gudlavalleti V. Murthy, Kathryn E. Fitzpatrick,Neena John, Chakravarthy Usha , Thulasiraj D. Ravilla, and Astrid E. Fletcher Prevalence of Cataract in an Older Population in India. Ophthalmology. 2011 Feb; 118(2-19): 272–278.e2.doi: 10.1016/j.ophtha.2010.05.020

Singh R, Vasavada AR, Janaswamy G. Phacoemulsification of brunescent and black cataracts. J Cataract Refract Surg. 2001 Nov;27(11):1762-9.

Vasavada A, Singh R. Step-by-step chop in situ and separation of very dense cataracts. J Cataract Refract Surg. 1998 Feb;24(2):156-9.

Chakrabarti A, Singh S. Phacoemulsification in eyes with white cataract.J Cataract Refract Surg. 2000 Jul; 26(7): 1041-7


Refbacks

  • There are currently no refbacks.