Cargando…

Morphological variations influencing the outcomes in posterior polar cataract

PURPOSE: To study the intraoperative complications and postoperative clinical outcomes in different types of posterior polar cataract (PPC) following phacoemulsification, based on morphological classification. METHODS: All consecutive patients with PPC who underwent phacoemulsification during the st...

Descripción completa

Detalles Bibliográficos
Autores principales: Aswin, PR, Harika, Kandukuri, Shekhar, Madhu, Sankarananthan, R, Shah, Amish, Lakshmanan, P, Aravind, Haripriya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9426121/
https://www.ncbi.nlm.nih.gov/pubmed/35791124
http://dx.doi.org/10.4103/ijo.IJO_2764_21
_version_ 1784778613715894272
author Aswin, PR
Harika, Kandukuri
Shekhar, Madhu
Sankarananthan, R
Shah, Amish
Lakshmanan, P
Aravind, Haripriya
author_facet Aswin, PR
Harika, Kandukuri
Shekhar, Madhu
Sankarananthan, R
Shah, Amish
Lakshmanan, P
Aravind, Haripriya
author_sort Aswin, PR
collection PubMed
description PURPOSE: To study the intraoperative complications and postoperative clinical outcomes in different types of posterior polar cataract (PPC) following phacoemulsification, based on morphological classification. METHODS: All consecutive patients with PPC who underwent phacoemulsification during the study period from 2016 to 2019 were included and sub-grouped based on the morphological characteristics according to Daljit Singh’s classification. Intraoperative complications such as posterior capsular rupture (PCR), vitreous loss, nucleus drop, and Postoperative best-corrected visual acuity (BCVA) at day 1 and day 30 were documented. RESULTS: A total of 388 eyes of 380 patients were included. Eighty nine (22.9%) eyes belonged to type 1, 135 (34.8%) belonged to type 2, 8 (2.1%) belonged to type 3, and 156 (40.2%) belonged to type 4. Thirty-five (9.3%) eyes had intraoperative PCR, with vitreous loss in 21 (60%) eyes, and nucleus/cortex drop in 5 (1.3%) eyes. Six (75%) eyes of type 3, 14 (10.04%) eyes of type 2, 12 (17.7%) eyes of type 4, and 3 (3.4%) eyes of type 1 PPC had PCR. PCR occurred more during the emulsification of the nucleus (18 cases, 51.4%). A significant correlation was seen between intraoperative PCR and type of PPC with a higher incidence in type 3 (P < 0.001). BCVA was found to be significantly worse on day 1 among patients with PCR compared to those who did not and improved well by day 30. CONCLUSION: PPC morphology is significantly co-related with the occurrence of PCR, emphasizing the need for careful grading of posterior polar cataracts in predicting the risk of intraoperative complications.
format Online
Article
Text
id pubmed-9426121
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-94261212022-08-31 Morphological variations influencing the outcomes in posterior polar cataract Aswin, PR Harika, Kandukuri Shekhar, Madhu Sankarananthan, R Shah, Amish Lakshmanan, P Aravind, Haripriya Indian J Ophthalmol Original Article PURPOSE: To study the intraoperative complications and postoperative clinical outcomes in different types of posterior polar cataract (PPC) following phacoemulsification, based on morphological classification. METHODS: All consecutive patients with PPC who underwent phacoemulsification during the study period from 2016 to 2019 were included and sub-grouped based on the morphological characteristics according to Daljit Singh’s classification. Intraoperative complications such as posterior capsular rupture (PCR), vitreous loss, nucleus drop, and Postoperative best-corrected visual acuity (BCVA) at day 1 and day 30 were documented. RESULTS: A total of 388 eyes of 380 patients were included. Eighty nine (22.9%) eyes belonged to type 1, 135 (34.8%) belonged to type 2, 8 (2.1%) belonged to type 3, and 156 (40.2%) belonged to type 4. Thirty-five (9.3%) eyes had intraoperative PCR, with vitreous loss in 21 (60%) eyes, and nucleus/cortex drop in 5 (1.3%) eyes. Six (75%) eyes of type 3, 14 (10.04%) eyes of type 2, 12 (17.7%) eyes of type 4, and 3 (3.4%) eyes of type 1 PPC had PCR. PCR occurred more during the emulsification of the nucleus (18 cases, 51.4%). A significant correlation was seen between intraoperative PCR and type of PPC with a higher incidence in type 3 (P < 0.001). BCVA was found to be significantly worse on day 1 among patients with PCR compared to those who did not and improved well by day 30. CONCLUSION: PPC morphology is significantly co-related with the occurrence of PCR, emphasizing the need for careful grading of posterior polar cataracts in predicting the risk of intraoperative complications. Wolters Kluwer - Medknow 2022-07 2022-06-30 /pmc/articles/PMC9426121/ /pubmed/35791124 http://dx.doi.org/10.4103/ijo.IJO_2764_21 Text en Copyright: © 2022 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Aswin, PR
Harika, Kandukuri
Shekhar, Madhu
Sankarananthan, R
Shah, Amish
Lakshmanan, P
Aravind, Haripriya
Morphological variations influencing the outcomes in posterior polar cataract
title Morphological variations influencing the outcomes in posterior polar cataract
title_full Morphological variations influencing the outcomes in posterior polar cataract
title_fullStr Morphological variations influencing the outcomes in posterior polar cataract
title_full_unstemmed Morphological variations influencing the outcomes in posterior polar cataract
title_short Morphological variations influencing the outcomes in posterior polar cataract
title_sort morphological variations influencing the outcomes in posterior polar cataract
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9426121/
https://www.ncbi.nlm.nih.gov/pubmed/35791124
http://dx.doi.org/10.4103/ijo.IJO_2764_21
work_keys_str_mv AT aswinpr morphologicalvariationsinfluencingtheoutcomesinposteriorpolarcataract
AT harikakandukuri morphologicalvariationsinfluencingtheoutcomesinposteriorpolarcataract
AT shekharmadhu morphologicalvariationsinfluencingtheoutcomesinposteriorpolarcataract
AT sankarananthanr morphologicalvariationsinfluencingtheoutcomesinposteriorpolarcataract
AT shahamish morphologicalvariationsinfluencingtheoutcomesinposteriorpolarcataract
AT lakshmananp morphologicalvariationsinfluencingtheoutcomesinposteriorpolarcataract
AT aravindharipriya morphologicalvariationsinfluencingtheoutcomesinposteriorpolarcataract