title: [Long-term Outcomes and Complications after Surgical Posterior Capsule Polishing Due to Secondary Cataract].
abstract: BACKGROUND
  To evaluate the long-term outcome and complication rate after surgical posterior capsule polishing as an alternative to Nd : YAG-Laser posterior capsulotomy in the treatment of posterior capsule opacity after cataract extraction in eyes with high risk of developing pseudophakic retinal detachment.
  
  
  METHODS
  This retrospective study comprised 265 eyes in 234 patients (134 women, 100 men, mean age: 61 years) with posterior capsule opacity who underwent surgical posterior capsule polishing between 1997 and 2010, with a follow-up of at least 12 months.
  
  
  RESULTS
  Surgical posterior capsule polishing was performed in 220 myopic eyes (axial length > 25 mm), in 28 eyes after retinal detachment surgery and in 17 eyes with traumatic cataract. The mean follow-up was 73 months (range: 12 to 202 months); in 206 eyes (77.8 %), follow-up was more than 3 years. The final best-corrected visual acuity (BCVA) in logMAR (mean 0.56 ± 0.63) improved significantly (p < 0.001) compared to the preoperative BCVA (mean 0.93 ± 0.72). Recurrent posterior capsule opacity occurred in 74 eyes (27.9 %) and was treated by one or more surgical posterior capsule polishing procedures. Nd : YAG-Laser posterior capsulotomy was performed in 28 eyes (10.6 %) and surgical capsulectomy in 8 eyes (3.0 %). Complications after surgical posterior capsule polishing included intraoperative capsule rupture in 9 eyes (3.5 %). No postoperative endophthalmitis was observed. However, retinal detachment occurred in 6 eyes (2.3 %) 62 months after surgical posterior capsule polishing. All eyes were myopic (axial length > 25 mm) and initially vitrectomised during first retinal detachment surgery.
  
  
  CONCLUSIONS
  Long-term outcome and complication rate indicate that surgical posterior capsule polishing is not only a more complex procedure but is also associated with a higher relapse risk than Nd : YAG-Laser posterior capsulotomy in the treatment of regenerative secondary cataract. Furthermore, conserving the posterior lens capsule does not always seem to minimise the cumulative risk of developing pseudophakic retinal detachment in high risk patients.
authors: Klinik für Augenheilkunde, Campus Virchow Klinikum, Charité-Universitätsmedizin Berlin.
authors: J
authors: J
authors: Gonnermann
authors: Klinik für Augenheilkunde, Klinikum Barnim GmbH, Werner Forßmann Krankenhaus, Barnim.
authors: S
authors: S
authors: Al-Mulsi
authors: Klinik für Augenheilkunde, Campus Virchow Klinikum, Charité-Universitätsmedizin Berlin.
authors: M
authors: M
authors: Klamann
authors: Klinik für Augenheilkunde, Campus Virchow Klinikum, Charité-Universitätsmedizin Berlin.
authors: A-K B
authors: AK
authors: Maier
authors: Klinik für Augenheilkunde, Campus Virchow Klinikum, Charité-Universitätsmedizin Berlin.
authors: M
authors: M
authors: Pahlitzsch
authors: Klinik für Augenheilkunde, Campus Virchow Klinikum, Charité-Universitätsmedizin Berlin.
authors: N
authors: N
authors: Torun
authors: Klinik für Augenheilkunde, Campus Virchow Klinikum, Charité-Universitätsmedizin Berlin.
authors: E
authors: E
authors: Bertelmann
mesh_terms: D058442:Capsule Opacification / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D015984:Causality; D015897:Comorbidity; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D053685:Laser Therapy / Q000706:statistics & numerical data; D053844:Lasers, Solid-State / Q000627:therapeutic use; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000453:epidemiology*; D057852:Posterior Capsule of the Lens / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology*; D012163:Retinal Detachment / Q000453:epidemiology*; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome