The probable associations for corticocapsular adhesions in patients undergoing cataract surgery: A clinic-based observational study
<b>Background:</b> Corticocapsular adhesions (CCA) are frequently seen between lens capsule and adjacent cortical layer. During cataract surgery, in the presence of CCA, excessive efforts to rotate the nucleus can result in zonular damage. To reduce morbidity, identification of associat...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2008-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2008;volume=56;issue=2;spage=103;epage=108;aulast=Vasavada |
| _version_ | 1828289993051734016 |
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| author | Vasavada Abhay Raj Shetal Praveen M Vasavada Viraj Vasavada Vaishali |
| author_facet | Vasavada Abhay Raj Shetal Praveen M Vasavada Viraj Vasavada Vaishali |
| author_sort | Vasavada Abhay |
| collection | DOAJ |
| description | <b>Background:</b> Corticocapsular adhesions (CCA) are frequently seen between lens capsule and adjacent cortical layer. During cataract surgery, in the presence of CCA, excessive efforts to rotate the nucleus can result in zonular damage. To reduce morbidity, identification of associations with CCA can be helpful in appropriately modifying the surgical procedure. <b> Aim:</b> To investigate probable associations with CCA in patients undergoing cataract surgery. <b> Setting and Design:</b> Iladevi Cataract and IOL research center. Case-control study. <b> Materials and Methods:</b> A single eye of 600 patients, 200 patients with CCA (cases) and 400 patients without CCA (controls) were considered. A CCA diagnosis was based on: (i) preoperative presence of CCA on slit-lamp examination with visualization of furry surface of cortex during surgery; (ii) preoperative absence of CCA on slit-lamp examination but intraoperative visualization of furry surface of cortex. Variables such as age, gender, type of cataract, grade of cataract, high myopia, diabetes mellitus and hypertension were studied. <b> Statistical Analysis:</b> Multivariate logistic regression was done. Results were presented as odds ratio (OR) with 95% CI. <b> Results:</b> Mean age was 64.71 ± 9.10 years in cases and 59.27 ± 8.79 years in controls. Presence of CCA increased with age from 22% (n = 59) in 45 to 49 years to 70% (n = 110) in 70 to 79 years. An increase in age was associated with CCA by 3.3% (OR = 3.3%, <i> P</i> = 0.028). The odds of CCA for females were 83% higher (<i> P</i> = 0.027). Presence of anterior cortical cataract increased odds of CCA by 9.5 times (<i> P</i> = 0.001), while posterior cortical cataract increased odds by 3.3 times (<i> P</i> = 0.001). <b> Conclusion:</b> Corticocapsular adhesions were strongly associated with cortical cataracts, increased age and female gender. |
| first_indexed | 2024-04-13T10:29:53Z |
| format | Article |
| id | doaj.art-d4789d44711d4d3d9d78ae6e088f9ba5 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 |
| language | English |
| last_indexed | 2024-04-13T10:29:53Z |
| publishDate | 2008-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-d4789d44711d4d3d9d78ae6e088f9ba52022-12-22T02:50:13ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47382008-01-01562103108The probable associations for corticocapsular adhesions in patients undergoing cataract surgery: A clinic-based observational studyVasavada AbhayRaj ShetalPraveen MVasavada VirajVasavada Vaishali<b>Background:</b> Corticocapsular adhesions (CCA) are frequently seen between lens capsule and adjacent cortical layer. During cataract surgery, in the presence of CCA, excessive efforts to rotate the nucleus can result in zonular damage. To reduce morbidity, identification of associations with CCA can be helpful in appropriately modifying the surgical procedure. <b> Aim:</b> To investigate probable associations with CCA in patients undergoing cataract surgery. <b> Setting and Design:</b> Iladevi Cataract and IOL research center. Case-control study. <b> Materials and Methods:</b> A single eye of 600 patients, 200 patients with CCA (cases) and 400 patients without CCA (controls) were considered. A CCA diagnosis was based on: (i) preoperative presence of CCA on slit-lamp examination with visualization of furry surface of cortex during surgery; (ii) preoperative absence of CCA on slit-lamp examination but intraoperative visualization of furry surface of cortex. Variables such as age, gender, type of cataract, grade of cataract, high myopia, diabetes mellitus and hypertension were studied. <b> Statistical Analysis:</b> Multivariate logistic regression was done. Results were presented as odds ratio (OR) with 95% CI. <b> Results:</b> Mean age was 64.71 ± 9.10 years in cases and 59.27 ± 8.79 years in controls. Presence of CCA increased with age from 22% (n = 59) in 45 to 49 years to 70% (n = 110) in 70 to 79 years. An increase in age was associated with CCA by 3.3% (OR = 3.3%, <i> P</i> = 0.028). The odds of CCA for females were 83% higher (<i> P</i> = 0.027). Presence of anterior cortical cataract increased odds of CCA by 9.5 times (<i> P</i> = 0.001), while posterior cortical cataract increased odds by 3.3 times (<i> P</i> = 0.001). <b> Conclusion:</b> Corticocapsular adhesions were strongly associated with cortical cataracts, increased age and female gender.http://www.ijo.in/article.asp?issn=0301-4738;year=2008;volume=56;issue=2;spage=103;epage=108;aulast=VasavadaCataractcorticocapsular adhesionshydrodissectionmultiquadrant hydrodissection |
| spellingShingle | Vasavada Abhay Raj Shetal Praveen M Vasavada Viraj Vasavada Vaishali The probable associations for corticocapsular adhesions in patients undergoing cataract surgery: A clinic-based observational study Indian Journal of Ophthalmology Cataract corticocapsular adhesions hydrodissection multiquadrant hydrodissection |
| title | The probable associations for corticocapsular adhesions in patients undergoing cataract surgery: A clinic-based observational study |
| title_full | The probable associations for corticocapsular adhesions in patients undergoing cataract surgery: A clinic-based observational study |
| title_fullStr | The probable associations for corticocapsular adhesions in patients undergoing cataract surgery: A clinic-based observational study |
| title_full_unstemmed | The probable associations for corticocapsular adhesions in patients undergoing cataract surgery: A clinic-based observational study |
| title_short | The probable associations for corticocapsular adhesions in patients undergoing cataract surgery: A clinic-based observational study |
| title_sort | probable associations for corticocapsular adhesions in patients undergoing cataract surgery a clinic based observational study |
| topic | Cataract corticocapsular adhesions hydrodissection multiquadrant hydrodissection |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2008;volume=56;issue=2;spage=103;epage=108;aulast=Vasavada |
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