Cataract Extraction in Vitrectomized Proliferative Diabetic Retinopathy.
- Author:
Sung Il YEO
1
;
Tac Yon KIM
;
Jong Woo KIM
Author Information
1. Department of Ophthalmology, Kon-Yang Hospital.
- Publication Type:Original Article
- Keywords:
ECCE;
PDR;
Phacoemulsification
- MeSH:
Cataract Extraction*;
Cataract*;
Corneal Edema;
Diabetic Retinopathy*;
Humans;
Intraocular Pressure;
Membranes;
Phacoemulsification;
Postoperative Complications;
Pupil;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
1999;40(3):738-743
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The cataract extraction in vitrectomized proliferative diabetic retinopathy(PDR) may be different from the ordinary non-vitrectomized patients in several points. We tried to know what`s the problems during the operation, how`s the visual outcomes and the postoperative complications in these eyes. In 18 previously vitrectomized PDR patients(25 eyes), we performed the extracapsular cataract extraction(ECCE) in 7 eyes and the phacoemulsification in 18 eyes. The intraoperative problems were insufficient dilation of pupil, unstability of (anterior and posterior) chamber depth, and difficulty in removal of cortex, which is firmly adherent to the posterior lens capsule. Opacity of posterior lens capsule, elevation of intraocular pressure, exudative pupillary membrane, posterior synechia and corneal edema were the major postoperative complications. In 22 eyes(88%), the visual acuity was increased more than 2 lines, Cataract extraction was easier and less postoperative complications these cases.
