ISSN: 1300-0365
Dil: Türkçe
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Posterior Segment Complications Affecting Visual Prognosis In Cataract Surgery By Phacoemulsification
Erkin KIR*, Özlem POLATLI**, Turgay AKTUNÇ***, Seyhan B. ÖZKAN***,Sema Oruç DÜNDAR****
* Yrd.Doç.Dr., Adnan Menderes Üniversitesi Tıp Fakültesi Göz Hastalıkları AD, ** Arş.Gör.Dr., Adnan Menderes Üniversitesi Tıp Fakültesi Göz Hastalıkları AD, *** Prof.Dr., Adnan Menderes Üniversitesi Tıp Fakültesi Göz Hastalıkları AD, **** Doç.Dr., Adnan Menderes Üniversitesi Tıp Fakültesi Göz Hastalıkları AD, AYDIN
Purpose: The aim of this study was to evaluate the intraoperative and postoperative posterior segment complications of cataract surgery by phacoemulsification. Material and Method: Intraoperative and postoperative complications were evaluated by performing a retrospective chart review on 434 eyes of 400 patients who underwent cataract surgery by phacoemulsification.Results: Mean age of patients was 66.6±11.4 (range between 18 and 95 years). Mean follow up was 12.5±4.2 months (range between 3 and 22 months). Less than one quarter of nucleus dropped into the vitreus due to posterior capsular rupture in 2 (0.46%) cases. Pars plana vitrectomy was not done in both cases as dropped nucleus fragment did not cause inflammatory reaction or intraocular pressure elevation. Visual acuity decreased to 0.3 postoperatively in one patient due to lamellar macular hole. Cystoid macular edema (CME) was observed in 2 (0.46%) eyes and this was documented on fundus fluorescein angiography. One eye developed a rhegmatogenous retinal detachment postoperatively, which was successfully repaired with scleral buckling.Conclusion: Cataract surgery by phacoemulsification yields favorable results in most patients. However, it should be kept in mind that serious complications such as retinal detachment, macular hole, CME and nucleus drop may develop.Keywords: Phacoemulsification, Cataract surgery, Complication.Turkiye Klinikleri J Ophthalmol 2003, 12:87-91
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