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. 1999 Aug;25(8):1157-60.
doi: 10.1016/s0886-3350(99)00118-2.

Phacoemulsification of white hypermature cataract

R B Vajpayee  1 , A Bansal, N Sharma, T Dada, V K Dada
Affiliations

Phacoemulsification of white hypermature cataract

R B Vajpayee et al. J Cataract Refract Surg. 1999 Aug.

Abstract

Purpose: To evaluate the safety of phacoemulsification of white hypermature cataract, which is common in developing countries.

Setting: Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Methods: In a teaching hospital setting, a prospective evaluation of phacoemulsification in 25 eyes of 25 consecutive patients with hypermature cataract was done. Patients with good pupil dilation, optimal endothelial cell count, and disease-free ocular and systemic status were included. High magnification, sodium hyaluronate, and a Utrata capsulorhexis forceps were used to perform continuous curvilinear capsulorhexis (CCC). The stop and chop technique was used for nuclear emulsification. A 5.5 mm optic allpoly(methyl methacrylate) intraocular lens (IOL) was implanted, and wound closure was sutureless.

Results: Successful CCC was performed in 23 of 25 cases. In 2 cases, the CCC edge extended toward the periphery and a Vannas scissors was used to achieve an even cut. No complications were seen during nuclear emulsification and IOL implantation. Eighty percent of the patients had a visual acuity of 20/40 or better on the first postoperative day. Five patients had significant corneal edema that resolved within 1 week in all cases.

Conclusion: Phacoemulsification was successfully and safely performed in appropriately selected patients with white hypermature cataract.

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Comment in

  • Capsulorhexis in white cataracts.
    Rao SK, Padmanabhan P. Rao SK, et al. J Cataract Refract Surg. 2000 Apr;26(4):477-8. doi: 10.1016/s0886-3350(00)00354-0. J Cataract Refract Surg. 2000. PMID: 10819631 No abstract available.

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