2009•Yanwaishang zhiye yanbing zazhiRequires access

A study of phacoemulsification for adhesive small pupil cataract

Hua Liu

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Abstract

Objective To discuss phacoemulsification on cataract with small adhesive pupil.Methods 186 cases(227 eyes)of cataract with small adhesive pupil had undergone phacoemulsification.Firstly the anterior and posterior synechia were separated by viscoelastic agent and IOL adjusting hook or iris hook.Or the pupil was enlarged by capsule scissors.Results Capsulectomy and phacoemulsification had been finished in all the 227 eyes.Posterior capsule rupture occurred in 6 eyes(2.64%).Postoperative cornea edema in 61 eyes(26.8%)disappeared in 5~7 days.IOL was not implanted in 8 eyes(3.52%).Conclusion It was effective and simple for enlargement of pupil by viscoelastic agent and hooks.The postoperative pupil could keep round because the sphincter muscle were not injuried.

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Objective To discuss phacoemulsification on cataract with small adhesive pupil.Methods 186 cases(227 eyes)of cataract with small adhesive pupil had undergone phacoemulsification.Firstly the anterior and posterior synechia were separated by viscoelastic agent and IOL adjusting hook or iris hook.Or the pupil was enlarged by capsule scissors.Results Capsulectomy and phacoemulsification had been finished in all the 227 eyes.Posterior capsule rupture occurred in 6 eyes(2.64%).Postoperative cornea edema in 61 eyes(26.8%)disappeared in 5~7 days.IOL was not implanted in 8 eyes(3.52%).Conclusion It was effective and simple for enlargement of pupil by viscoelastic agent and hooks.The postoperative pupil could keep round because the sphincter muscle were not injuried.

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Available abstract

Objective To discuss phacoemulsification on cataract with small adhesive pupil.Methods 186 cases(227 eyes)of cataract with small adhesive pupil had undergone phacoemulsification.Firstly the anterior and posterior synechia were separated by viscoelastic agent and IOL adjusting hook or iris hook.Or the pupil was enlarged by capsule scissors.Results Capsulectomy and phacoemulsification had been finished in all the 227 eyes.Posterior capsule rupture occurred in 6 eyes(2.64%).Postoperative cornea edema in 61 eyes(26.8%)disappeared in 5~7 days.IOL was not implanted in 8 eyes(3.52%).Conclusion It was effective and simple for enlargement of pupil by viscoelastic agent and hooks.The postoperative pupil could keep round because the sphincter muscle were not injuried.

Key concepts: Phacoemulsification, Synechia, Pupil, Medicine, Ophthalmology, IRIS (biosensor), Capsulorhexis, Hook

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