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...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Indian Journal of Ophthalmology |
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| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=7;spage=2426;epage=2431;aulast=Aswin |
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| author | P R Aswin Kandukuri Harika Madhu Shekhar R Sankarananthan Amish Shah P Lakshmanan Haripriya Aravind |
| author_facet | P R Aswin Kandukuri Harika Madhu Shekhar R Sankarananthan Amish Shah P Lakshmanan Haripriya Aravind |
| author_sort | P R Aswin |
| collection | DOAJ |
| 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. |
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| format | Article |
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| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-12-12T01:30:39Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-6c413255a70a42e593fb87d3925a47012022-12-22T00:42:59ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-017072426243110.4103/ijo.IJO_2764_21Morphological variations influencing the outcomes in posterior polar cataractP R AswinKandukuri HarikaMadhu ShekharR SankarananthanAmish ShahP LakshmananHaripriya AravindPurpose: 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.http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=7;spage=2426;epage=2431;aulast=Aswincomplicationsdaljit singh gradingmorphological classificationphacoemulsificationposterior polar cataract |
| spellingShingle | P R Aswin Kandukuri Harika Madhu Shekhar R Sankarananthan Amish Shah P Lakshmanan Haripriya Aravind Morphological variations influencing the outcomes in posterior polar cataract Indian Journal of Ophthalmology complications daljit singh grading morphological classification phacoemulsification 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 | complications daljit singh grading morphological classification phacoemulsification posterior polar cataract |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=7;spage=2426;epage=2431;aulast=Aswin |
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