Intraoperative Complications of Cataract Surgery Using Intracameral Illumination in the Elderly over 75 Years
Purpose. To evaluate intraoperative complications and utilization of adjunctive devices between microscope and intracameral illuminations during cataract surgery in the elderly over 75 years. Design. A retrospective, consecutive, interventional case series Participants. Two hundred eighty-six eyes o...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2019/1594152 |
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| author | Yu Jeong Kim Su Jin Park Jong Yeon Lee Dae Yeong Lee Dong Heun Nam |
| author_facet | Yu Jeong Kim Su Jin Park Jong Yeon Lee Dae Yeong Lee Dong Heun Nam |
| author_sort | Yu Jeong Kim |
| collection | DOAJ |
| description | Purpose. To evaluate intraoperative complications and utilization of adjunctive devices between microscope and intracameral illuminations during cataract surgery in the elderly over 75 years. Design. A retrospective, consecutive, interventional case series Participants. Two hundred eighty-six eyes of 184 patients older than 75 years who underwent cataract surgery using microscope and intracameral illuminations. Methods. A chart review was performed on an advanced cataract surgery group of 141 consecutive cases in which the intracameral illumination was used and on a standard cataract surgery group of 145 consecutive cases in which the intracameral illumination was not used. Main Outcome Measures. Intraoperative complications (posterior capsule rupture, radial tear of the anterior capsule, dropped nucleus, or sulcus-implanted/sclera-fixated IOL) and utilization of adjunctive devices (pupil expansion device or anterior capsule staining). Results. The frequency of use of the pupil expansion device was lower in the advanced cataract surgery group than that in the standard cataract surgery group (0.7% vs 6.9%; p=0.007). Furthermore, the rates of a posterior capsule rupture and at least one intraoperative complication were lower in the advanced cataract surgery group than those in the standard cataract surgery group (0.7% vs 4.8%; p=0.067) (0.7% vs 7.6%; p=0.004). Conclusions. In the current cohort of patients over 75 years, the rate of intraoperative complications was lower when using the intracameral illumination than that when using the conventional method. Cataract surgery using intracameral illumination would be good option for elderly people. |
| format | Article |
| id | doaj-art-8ea05da1c7f643efa4f91caabf230309 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-8ea05da1c7f643efa4f91caabf2303092025-02-03T07:26:11ZengWileyJournal of Ophthalmology2090-004X2090-00582019-01-01201910.1155/2019/15941521594152Intraoperative Complications of Cataract Surgery Using Intracameral Illumination in the Elderly over 75 YearsYu Jeong Kim0Su Jin Park1Jong Yeon Lee2Dae Yeong Lee3Dong Heun Nam4Department of Ophthalmology, Gachon University Gil Hospital, Incheon, Republic of KoreaDepartment of Ophthalmology, Gachon University Gil Hospital, Incheon, Republic of KoreaDepartment of Ophthalmology, Gachon University Gil Hospital, Incheon, Republic of KoreaDepartment of Ophthalmology, Gachon University Gil Hospital, Incheon, Republic of KoreaDepartment of Ophthalmology, Gachon University Gil Hospital, Incheon, Republic of KoreaPurpose. To evaluate intraoperative complications and utilization of adjunctive devices between microscope and intracameral illuminations during cataract surgery in the elderly over 75 years. Design. A retrospective, consecutive, interventional case series Participants. Two hundred eighty-six eyes of 184 patients older than 75 years who underwent cataract surgery using microscope and intracameral illuminations. Methods. A chart review was performed on an advanced cataract surgery group of 141 consecutive cases in which the intracameral illumination was used and on a standard cataract surgery group of 145 consecutive cases in which the intracameral illumination was not used. Main Outcome Measures. Intraoperative complications (posterior capsule rupture, radial tear of the anterior capsule, dropped nucleus, or sulcus-implanted/sclera-fixated IOL) and utilization of adjunctive devices (pupil expansion device or anterior capsule staining). Results. The frequency of use of the pupil expansion device was lower in the advanced cataract surgery group than that in the standard cataract surgery group (0.7% vs 6.9%; p=0.007). Furthermore, the rates of a posterior capsule rupture and at least one intraoperative complication were lower in the advanced cataract surgery group than those in the standard cataract surgery group (0.7% vs 4.8%; p=0.067) (0.7% vs 7.6%; p=0.004). Conclusions. In the current cohort of patients over 75 years, the rate of intraoperative complications was lower when using the intracameral illumination than that when using the conventional method. Cataract surgery using intracameral illumination would be good option for elderly people.http://dx.doi.org/10.1155/2019/1594152 |
| spellingShingle | Yu Jeong Kim Su Jin Park Jong Yeon Lee Dae Yeong Lee Dong Heun Nam Intraoperative Complications of Cataract Surgery Using Intracameral Illumination in the Elderly over 75 Years Journal of Ophthalmology |
| title | Intraoperative Complications of Cataract Surgery Using Intracameral Illumination in the Elderly over 75 Years |
| title_full | Intraoperative Complications of Cataract Surgery Using Intracameral Illumination in the Elderly over 75 Years |
| title_fullStr | Intraoperative Complications of Cataract Surgery Using Intracameral Illumination in the Elderly over 75 Years |
| title_full_unstemmed | Intraoperative Complications of Cataract Surgery Using Intracameral Illumination in the Elderly over 75 Years |
| title_short | Intraoperative Complications of Cataract Surgery Using Intracameral Illumination in the Elderly over 75 Years |
| title_sort | intraoperative complications of cataract surgery using intracameral illumination in the elderly over 75 years |
| url | http://dx.doi.org/10.1155/2019/1594152 |
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