Capsule complication during cataract surgery: Long-term outcomes: Swedish Capsule Rupture Study Group report 3.

Abstract

PURPOSE:

To describe the long-term outcomes after cataract extractions with a capsule rupture included in the Swedish Capsule Rupture Study.

SETTING:

Ten ophthalmic surgery departments in Sweden.

METHODS:

From the cohort of patients originally selected for inclusion in the Swedish Capsule Rupture Study, cases with a capsule complication (study group) and cases without a complication (control group) were examined approximately 3.5 years postoperatively. Visual acuity and objective and subjective parameters were registered.

RESULTS:

The study group comprised 171 patients and the control group, 198 patients. Patients with a capsule complication had a significantly worse visual outcome and a doubled risk for no improvement in preoperative visual acuity. Pupil distortion, iris damage, synechias, and subjective complaints related to the eye were significantly more common in patients with a capsule complication.

CONCLUSION:

Capsule complications decreased the probability of good postoperative visual acuity and in general yielded a worse long-term outcome after phacoemulsification surgery.

• Authors: Björn Johansson, Mats Lundström, Per Montan, Ulf Stenevi, Anders Behndig
• Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 35 Issue 10 Pg. 1694-8 (Oct 2009) ISSN: 1873-4502 [Electronic] United States
• PMID: 19781461 (Publication Type: Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't)

Topics

• Aged
• Case-Control Studies
• Cataract (complications)
• Eye Diseases (etiology)
• Eye Injuries (economics, etiology, surgery)
• Female
• Follow-Up Studies
• Humans
• Intraoperative Complications
• Lens Capsule, Crystalline (injuries)
• Lens Diseases (economics, etiology, surgery)
• Lens Implantation, Intraocular
• Male
• Phacoemulsification (adverse effects, statistics & numerical data)
• Postoperative Care
• Risk Factors
• Sweden
• Treatment Outcome
• Visual Acuity (physiology)
• Vitreous Body (pathology)