A study for the evaluation for the most probable cause of posterior capsular opacification formation in post operative cataract patients

Dr. Prachi Hirkane; Dr. Meeta Shrivastava; Dr. Shweta Walia; Dr. (Prof) V. Bhaisare

Volume : IX, Issue : I, January - 2019

A study for the evaluation for the most probable cause of posterior capsular opacification formation in post operative cataract patients

Dr. Prachi Hirkane, Dr. Meeta Shrivastava, Dr. Shweta Walia, Dr. Prof V. Bhaisare

Abstract :

Background: One of the most common complication after cataract surgery is Posterior capsular opacification (PCO) or secondary cataract, if it covers pupillary area vision is reduced. PCO is treated satisfactorily using laser and if dense by surgical capsulotomy. Aim: In this study proposed we evaluated the most likely cause of PCO formation and role of Neodymium: Yttrium Aluminum Garnet Laser capsulotomy in its management in patients with PCO, operated at the Ophthalmology department of MGMMC, Indore. Methods: An observation study was conducted on 600 eyes of 600 patients who underwent small incision cataract surgery at MYH Indore. Patients were followed up for 6 months and formation of PCO postoperatively and role of Neodymium: Yttrium Aluminum Garnet Laser capsulotomy in its management was evaluated. Result: We found that, PCO formation is mostly associated with systemic illness like Diabetes or any ocular pathology, which correlates with other studies on PCO development. Clinically significant PCO was found in 229 patients (38.16%) who were treated with Nd YAG capsulotomy. Conclusion: PCO develops early in patients suffering with systemic illness, if the IOL is in sulcus, in pseudoexfoliation syndrome. It can be prevented by accurate hydrodissection, removing of cortical mass, polishing of capsule and intracapsular fixation of lens and by controling post–operative inflammation