Volume : X, Issue : IV, April - 2020

Posterior polar cataract: surgical and visual outcome on long term follow up

Manu Sharma, Parul C Gupta, Jagat Ram

Abstract :

Background: posterior polar cataract (PPC) is the cataractous changes found to involve the posterior pole of the crystalline lens. The importance of posterior polar cataract lies in its higher risk of management related complications. These cataracts are challenging to surgeons because they carry a higher risk for posterior capsule rupture (PCR) and nuclear drop during cataract extraction. Materials and methods: Records of patients with PPC who underwent cataract surgery were studied in details. Records were reviewed for epidemiological parameters and ocular examination findings. Intraoperative and postoperative complications were also noted from the records. Results: 150 eyes of 127 patients who completed at least 1year of follow up were included in the study. Average age of patients was 50.70±14.80 years (range–10 to 76 years). Patients completed average follow up of 30.71±14.60 months (range 12 months to 67 months). Out of total 127 patients 68 were males (53.5%) and 59 were females (46.5%). Size of posterior polar opacity was less than 4mm in 116 (77.34%) eyes and more than 4mm in 34 (22.67%) eyes. Posterior capsular rent (PCR) was noted in 24 (16.00%) eyes. Only 8 (6.80%) out of 116 eyes with size of PPC opacity <4mm had PCR while 16 (47.05%) eyes out of 34 with PPC opacity > 4mm were noted to have PCR ( p value >0.01). Posterior chamber IOL was implanted successfully in 149 eyes. IOL in the capsular bag was implanted in 131(87.33%) eyes. In 19 (12.67%) eyes IOL was implanted in sulcus. Posterior capsular plaque was left in place in 5 (3.3%) eyes, which later underwent ND: YAG capsulotomy. Conclusion: Careful phacoemulsification with modification in surgical techniques has improved the outcomes in posterior polar cataract eyes.

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

POSTERIOR POLAR CATARACT: SURGICAL AND VISUAL OUTCOME ON LONG TERM FOLLOW UP, Manu Sharma, Parul C Gupta, Jagat Ram INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-4 | April-2020

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