[Capsular membranes: a risk factor for cataract operation?].
A prospective study of the peroperative behaviour of eyes with pseudoexfoliation syndrome (PEX) in cataract surgery was carried out between June 1989 and July 1990, including 164 eyes with PEX and 164 eyes in the control group. All eyes underwent either phakoemulsifikation or extracapsular extraction with implantation of a posterior chamber lens. Intraoperative the eyes with PEX fairly often failed to reach adequate mydriases (23%) compared with the control group (5.5%). The rate of postoperative fibrinoid reactions was almost the same in both groups (7.9% in eyes with PEX, 7.5% in the control group). Even though the cataract extraction and implantation of the IOL sometimes is slightly more difficult due to inadequate mydriasis, there is no evidence for an increased rate of severe intraoperative complications. The incidence of ruptures of the posterior capsule and vitreous loss was 1.2% and 0.6% respectively in eyes with PEX, the former is within our results of cataract surgery, delivered from a study of 6000 consecutive cases from 1982 to 1985 (0.73%).
Becker
H U
HU
Universitäts-Augenklinik, Universitätsklinikum Rudolf Virchow, Standort Charlottenburg.
Pham
D T
DT
Wollensak
J
J
D000368:Aged; D005260:Female; D005337:Fibrin / Q000378:metabolism*; D005549:Foreign-Body Reaction / Q000209:etiology*; D005901:Glaucoma / Q000209:etiology*; D006801:Humans; D007903:Lens Capsule, Crystalline; D007910:Lenses, Intraocular; D008297:Male; D011183:Postoperative Complications / Q000209:etiology*; D011446:Prospective Studies; D012307:Risk Factors
D005337:Fibrin
Kapselhäutchen: Ein Risikofaktor für die Kataraktoperation?