Extracapsular cataract extraction and posterior-lip sclerectomy with viscoelastic.
A review of 15 cases suggests that posterior-lip sclerectomy can be performed safely with extracapsular cataract extraction (ECCE) and posterior chamber lens implantation. The anterior chamber was filled with viscoelastic at the end of each procedure; no case required reoperation for shallow chamber or hypotony. The mean intraocular pressure after 1 year was 12.1 mm Hg. The astigmatism induced by the triple procedure did not differ significantly from that caused by ECCE alone during the initial 2 postoperative years. A new mathematical model that describes the change over time of postoperative astigmatism associated with these procedures is described.
Edward S. Harkness Eye Institute, Columbia-Presbyterian Medical Center, New York, NY.
J C
JC
Merriam
J B
JB
Wahlig
H
H
Konrad
M
M
Zaider
D000368:Aged; D000369:Aged, 80 and over; D000867:Anterior Chamber; D001251:Astigmatism / Q000209:etiology; D002387:Cataract Extraction / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005901:Glaucoma / Q000601:surgery*; D006801:Humans; D006820:Hyaluronic Acid; D007429:Intraocular Pressure; D007903:Lens Capsule, Crystalline; D007910:Lenses, Intraocular; D008297:Male; D012599:Sclerostomy / Q000379:methods*; D013524:Surgical Flaps; D014792:Visual Acuity
D006820:Hyaluronic Acid