This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Ermiss, S S Articles by Inan, U U Search for Related Content PubMed PubMed Citation Articles by Ermiss, S S Articles by Inan, U U

Comparing the efficacy and safety of phacoemulsification in white mature and other types of senile cataracts

S S Ermis

Department of Ophthalmology, School of Medicine, University of Afyon Kocatepe, Afyon, Turkey

Correspondence to:
Correspondence to:
Dr S S Ermis
Dervispasa mah, Pirireis sk, Ceylan Apt A blok No:3/8, 03200 Afyon, Turkey; sametermis{at}yahoo.com

Aim: To compare the intraoperative difficulty and postoperative outcome in patients who have white mature cataract in one eye and other types of senile cataract in the other eye undergoing clear corneal phacoemulsification and foldable intraocular lens implantation.

Methods: 82 patients who had white mature cataract in one eye, posterior subcapsular, cortical, nuclear, or mixed type cataract in the other eye were enrolled in this prospective study. Postoperative outcomes, intraoperative difficulties related to capsulorhexis, and phacoemulsification were analysed between the two groups of eyes. Postoperative examinations were done at 1 day, 1 week, 1 and 3 months.

Results: Postoperative visual acuity, central corneal thickness, intraocular pressure, and rate of posterior capsule rupture were not significantly different between the two group of eyes (p>0.05). Mean effective phaco time, frequency of postoperative corneal oedema and posterior capsular plaque were found to be significantly higher in the mature cataract group (p<0.05).

Conclusions: A one stage, 5 mm continuous capsulorhexis was achieved using trypan blue and generous amounts of retentive viscoelastic agent in eyes with white mature cataract. Intraoperative difficulties and postoperative outcome of clear corneal incision phacoemulsification surgery and foldable intraocular lens implantation were similar in white mature and other types of senile cataract. Topical anaesthesia in phacoemulsification of eyes with white mature cataract is safe and well tolerated.

Keywords: phacoemulsification; senile cataracts

This article has been cited by other articles:

				A K H Kwok, C-K Yeung, T Y Y Lai, K-P Chan, and C P Pang Effects of trypan blue on cell viability and gene expression in human retinal pigment epithelial cells Br. J. Ophthalmol., December 1, 2004; 88(12): 1590 - 1594. [Abstract] [Full Text] [PDF]