ABSTRACT
To determine the corneal problems faced during and after phacoemulsification [phaco] as a beginner of phaco surgeries Corneal problems in 100 cases of phaco were retrospectively analysed. Those cases with nuclei+3/above and those who were operated in camps were excluded. Phaco-chop technique was used in 80% of cases. Average duration of surgery was 20 minutes Corneal problems were analysed during and after phaco procedures. During phaco corneal abrasion was developed in 40% of cases, detachment of Descemet's membrane was developed in 03% of cases. After phaco on first few days the main corneal problem was corneal edema and striate keratopathy which was in 53% of cases. To reduce corneal problems one has to reduce phaco time and power. We have done phaco in the anterior chamber in most of cases which have increases the chances of corneal endothelial damage and resulted in more corneal edema and striate in early postoperative period so one should try to do phaco in bag. Sharp instruments should be used. Phaco should be done in selected cases rather does "do phaco in all cases" strategy
ABSTRACT
To find out the reasons for Posterior Capsular Rupture during Phacoemulsification in our cases. Retrospective study from 2001 to 2005. Setting: Hamdard University Hospital and Nisar Eye Hospital, Karachi. A total of 300 patients who underwent Phacoemulsification were included in the study. Cases with +4 nuclei and those operated in camps were not included in this study. After thorough examination and investigations the patients were operated, mostly under retrobulbar anaesthesia. First follow up was on the first post operative day and then after one week, three weeks and eight weeks. Posterior capsular rupture was the most common intra-operative complication, seen in around 16% of our initial phacoemulsification cases. In most [43%] cases it was caused by the sharp and heated phaco tip. In every stage of the phacoemulsification we have to be very careful. Fluid dynamics change during phacoemulsification that may lead to rupture of the thin posterior capsule, and we should be alert to save it