Intra-operative phacoemulsification conversion to extracapsular cataract extraction: risk factors and visual outcome

Phacoemulsification (PEA) is currently the procedure of choice for most cataract extraction. However, intra-operative complications may require the procedure to be converted to extracapsular cataract extraction (ECCE). We have evaluated the indications for conversion and visual outcomes in cases con...

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Main Authors:	Rathna R, Mushawiahti Mustapha, Amin Ahem, Bastion MLC
Format:	Article
Language:	English
Published:	Pusat Perubatan Universiti Kebangsaan Malaysia 2017
Online Access:	http://journalarticle.ukm.my/12279/ http://journalarticle.ukm.my/12279/ http://journalarticle.ukm.my/12279/1/3._rathna_et_al.pdf

id	ukm-12279
recordtype	eprints
spelling	ukm-122792018-11-02T21:58:35Z http://journalarticle.ukm.my/12279/ Intra-operative phacoemulsification conversion to extracapsular cataract extraction: risk factors and visual outcome Rathna R, Mushawiahti Mustapha, Amin Ahem, Bastion MLC, Phacoemulsification (PEA) is currently the procedure of choice for most cataract extraction. However, intra-operative complications may require the procedure to be converted to extracapsular cataract extraction (ECCE). We have evaluated the indications for conversion and visual outcomes in cases converted from phacoemulsification to ECCE. A retrospective review was performed on 33 eyes in which phacoemulsification was initiated and then converted to ECCE. The main parameters evaluated were indications for conversion and visual outcomes at 3 months. Thirty-three cases out of 1448 operations were identified from January 2013 to February 2014.The incidence of PEA converted to ECCE was 2.2%. The indications for ECCE conversion were posterior capsular rupture (PCR) in twenty-two cases, combined capsulorhexis extension with PCR in three cases, capsulorhexis extension and zonular dialysis in two cases respectively. Combined zonular dialysis with PCR, corneal toxicity, Descemet’s tear and obscured edge of capsulorhexis had one case each. Twenty-six (78%) cases had gain in vision, one (3%) case had unchanged vision and six (18%) cases had worsening of vision. The incidence of complicated phacoemulsification surgery requiring intra-operative conversion to ECCE was low in our study (2.2%). Seventy-eight percent of cases achieved final VA of 6/12 or better. Therefore, early recognition of complications and timely intra-operative conversion of PEA to ECCE may result in good visual outcome. Pusat Perubatan Universiti Kebangsaan Malaysia 2017 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/12279/1/3._rathna_et_al.pdf Rathna R, and Mushawiahti Mustapha, and Amin Ahem, and Bastion MLC, (2017) Intra-operative phacoemulsification conversion to extracapsular cataract extraction: risk factors and visual outcome. Journal of Surgical Academia, 7 (2). pp. 13-17. ISSN 2231-7481 http://jsurgacad.com/toc/7/2
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	Phacoemulsification (PEA) is currently the procedure of choice for most cataract extraction. However, intra-operative complications may require the procedure to be converted to extracapsular cataract extraction (ECCE). We have evaluated the indications for conversion and visual outcomes in cases converted from phacoemulsification to ECCE. A retrospective review was performed on 33 eyes in which phacoemulsification was initiated and then converted to ECCE. The main parameters evaluated were indications for conversion and visual outcomes at 3 months. Thirty-three cases out of 1448 operations were identified from January 2013 to February 2014.The incidence of PEA converted to ECCE was 2.2%. The indications for ECCE conversion were posterior capsular rupture (PCR) in twenty-two cases, combined capsulorhexis extension with PCR in three cases, capsulorhexis extension and zonular dialysis in two cases respectively. Combined zonular dialysis with PCR, corneal toxicity, Descemet’s tear and obscured edge of capsulorhexis had one case each. Twenty-six (78%) cases had gain in vision, one (3%) case had unchanged vision and six (18%) cases had worsening of vision. The incidence of complicated phacoemulsification surgery requiring intra-operative conversion to ECCE was low in our study (2.2%). Seventy-eight percent of cases achieved final VA of 6/12 or better. Therefore, early recognition of complications and timely intra-operative conversion of PEA to ECCE may result in good visual outcome.
format	Article
author	Rathna R, Mushawiahti Mustapha, Amin Ahem, Bastion MLC,
spellingShingle	Rathna R, Mushawiahti Mustapha, Amin Ahem, Bastion MLC, Intra-operative phacoemulsification conversion to extracapsular cataract extraction: risk factors and visual outcome
author_facet	Rathna R, Mushawiahti Mustapha, Amin Ahem, Bastion MLC,
author_sort	Rathna R,
title	Intra-operative phacoemulsification conversion to extracapsular cataract extraction: risk factors and visual outcome
title_short	Intra-operative phacoemulsification conversion to extracapsular cataract extraction: risk factors and visual outcome
title_full	Intra-operative phacoemulsification conversion to extracapsular cataract extraction: risk factors and visual outcome
title_fullStr	Intra-operative phacoemulsification conversion to extracapsular cataract extraction: risk factors and visual outcome
title_full_unstemmed	Intra-operative phacoemulsification conversion to extracapsular cataract extraction: risk factors and visual outcome
title_sort	intra-operative phacoemulsification conversion to extracapsular cataract extraction: risk factors and visual outcome
publisher	Pusat Perubatan Universiti Kebangsaan Malaysia
publishDate	2017
url	http://journalarticle.ukm.my/12279/ http://journalarticle.ukm.my/12279/ http://journalarticle.ukm.my/12279/1/3._rathna_et_al.pdf
first_indexed	2023-09-18T20:02:15Z
last_indexed	2023-09-18T20:02:15Z
_version_	1777406926504591360

Intra-operative phacoemulsification conversion to extracapsular cataract extraction: risk factors and visual outcome

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