[Analysis, prospect and treatment of causes of phacoemulsification complications].
OBJECTIVE
To analyse the causes of different complications of phacoemulsification and to investigate their principles of treatment and prevention.


METHODS
The causes of different complications in 187 (180 cases) of 2,250 eyes having undergone phacoemulsification were analyzed.


RESULTS
Intraoperatively, the common complications of phacoemulsification were posterior capsular rupture in 70 eyes (3.1%), iris damage in 16 eyes (0.7%), iris prolapse in 6 eyes (0.3%), drop of lens fragments into vitreous in 3 eyes (0.1%) and tear of Descernent's membrane in 4 eyes (0.2%). The common complications after the operation were corneal endothelial edema in 89 eyes (4.0%), corneal decompensation in 2 eyes (0.1%), temporary intraocular hypertension in 28 eyes (1.2%), pupillary dilatation in 7 eyes (0.3%), retinal detachment in 8 eyes (0.4%), cystoid macular edema in 24 eyes (1.1%) and displacement of intraocular lens in 8 eyes (0.4%).


CONCLUSIONS
The different complications can be diminished following the popularization and development of phacoemulsification. It should be properly managed once the complication has occurred, and good operative effects can be obtained.
Wang
W
W
Department of Ophthalmology, Shanghai Sixth People's Hospital, Shanghai 20023, China.
Jia
L
L
Yang
G
G
D005128:Eye Diseases / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D018918:Phacoemulsification / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*