Abstract
Purpose: To evaluate the outcome of surgery for atopic cataract in patients with intraoperative posterior capsule rupture (PCR). Methods: Cataract surgery for atopic cataract was performed in a total of 215 eyes of 148 patients. We studied 152 eyes of 107 patients who had not had retinal detachment or a history of retinal surgery before surgery for atopic cataract and who had been followed for more than 6 months after surgery for atopic cataract. The incidence of postoperative retinal detachment was analyzed with regard to the presence of intraoperative PCR and whether intraocular lens (IOL) implantation was performed. Results: PCR was noted in 6 eyes (3.9%), including 3 eyes in which IOL implantation was performed. Postoperative retinal detachment occurred in 2 eyes (66.7%) with IOL implantation and 1 eye (33.3%) without IOL implantation and in only 4 (2.7%) of 146 eyes without PCR (p=0.0011). Postoperative retinal detachment developed due to giant retinal breaks in all 3 eyes with PCR. Conclusions: The decision to implant an IOL during surgery for atopic cataract should be made very carefully in patients with PCR, with consideration of prophylactic treatment to prevent postoperative retinal detachment.
| Original language | English |
|---|---|
| Pages (from-to) | 949-952 |
| Number of pages | 4 |
| Journal | Folia Ophthalmologica Japonica |
| Volume | 55 |
| Issue number | 12 |
| Publication status | Published - 2004 Dec |
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Keywords
- Atopic cataract
- Atopic dermatitis
- Posterior capsule rupture
- Retinal detachment
ASJC Scopus subject areas
- Ophthalmology
Cite this
Outcome of surgery for atopic cataract after intraoperative posterior capsule rupture. / Uchida, Atsuro; Inoue, Makoto; Shinoda, Hajime; Shinoda, Kei; Kurosaka, Daijiro; Katsura, Hiroshi.
In: Folia Ophthalmologica Japonica, Vol. 55, No. 12, 12.2004, p. 949-952.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Outcome of surgery for atopic cataract after intraoperative posterior capsule rupture
AU - Uchida, Atsuro
AU - Inoue, Makoto
AU - Shinoda, Hajime
AU - Shinoda, Kei
AU - Kurosaka, Daijiro
AU - Katsura, Hiroshi
PY - 2004/12
Y1 - 2004/12
N2 - Purpose: To evaluate the outcome of surgery for atopic cataract in patients with intraoperative posterior capsule rupture (PCR). Methods: Cataract surgery for atopic cataract was performed in a total of 215 eyes of 148 patients. We studied 152 eyes of 107 patients who had not had retinal detachment or a history of retinal surgery before surgery for atopic cataract and who had been followed for more than 6 months after surgery for atopic cataract. The incidence of postoperative retinal detachment was analyzed with regard to the presence of intraoperative PCR and whether intraocular lens (IOL) implantation was performed. Results: PCR was noted in 6 eyes (3.9%), including 3 eyes in which IOL implantation was performed. Postoperative retinal detachment occurred in 2 eyes (66.7%) with IOL implantation and 1 eye (33.3%) without IOL implantation and in only 4 (2.7%) of 146 eyes without PCR (p=0.0011). Postoperative retinal detachment developed due to giant retinal breaks in all 3 eyes with PCR. Conclusions: The decision to implant an IOL during surgery for atopic cataract should be made very carefully in patients with PCR, with consideration of prophylactic treatment to prevent postoperative retinal detachment.
AB - Purpose: To evaluate the outcome of surgery for atopic cataract in patients with intraoperative posterior capsule rupture (PCR). Methods: Cataract surgery for atopic cataract was performed in a total of 215 eyes of 148 patients. We studied 152 eyes of 107 patients who had not had retinal detachment or a history of retinal surgery before surgery for atopic cataract and who had been followed for more than 6 months after surgery for atopic cataract. The incidence of postoperative retinal detachment was analyzed with regard to the presence of intraoperative PCR and whether intraocular lens (IOL) implantation was performed. Results: PCR was noted in 6 eyes (3.9%), including 3 eyes in which IOL implantation was performed. Postoperative retinal detachment occurred in 2 eyes (66.7%) with IOL implantation and 1 eye (33.3%) without IOL implantation and in only 4 (2.7%) of 146 eyes without PCR (p=0.0011). Postoperative retinal detachment developed due to giant retinal breaks in all 3 eyes with PCR. Conclusions: The decision to implant an IOL during surgery for atopic cataract should be made very carefully in patients with PCR, with consideration of prophylactic treatment to prevent postoperative retinal detachment.
KW - Atopic cataract
KW - Atopic dermatitis
KW - Posterior capsule rupture
KW - Retinal detachment
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M3 - Article
VL - 55
SP - 949
EP - 952
JO - Folia Ophthalmologica Japonica
JF - Folia Ophthalmologica Japonica
SN - 0015-5667
IS - 12
ER -