[Phacoemulsification and clear cornea incision: review of 100 initial cases].
OBJECTIVE
Evaluation of complications during the learning period of phacoemulsifications with clear-corneal incision.


METHODS
Retrospective study of the 100 first cases with a follow-up of 3 to 24 months.


RESULTS
During operation, 5 (5%) cases (one 180 degrees dialysis, 4 broken posterior capsules) presented with a significant complication needing anterior vitrectomy. Eight corneal tunnels were sutured at the end of surgery and 3 others a few days later. No case showed signs of intraocular infection. Cystoid macular edema developed in 4 patients who all recovered good visual acuity. Excessive fibrosis of anterior capsule with capsulorhexis contraction was encountered in 2 cases harbouring plate haptic silicone lenses and needed YAG-laser treatment. None of the eyes with complications had visual acuity inferior to 0.6, except for 2 eyes which had preoperative macular diseases.


CONCLUSIONS
This study demonstrates that phacoemulsification with clear cornea incision is a safe procedure, provided that the complications related to the learning period are set apart. None of the complications encountered in our 100 first cases severely prejudiced the functional results.
Lendi
B
B
Hôpital Ophtalmique Jules Gonin, Lausanne.
Gonvers
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002983:Clinical Competence; D003315:Cornea / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology
Phakoémulsification et incision en cornée claire: revue des 100 premiers cas.