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dc.contributor.authorBerk Ergun, Şule
dc.contributor.authorKocamış, Sücattin İlker
dc.contributor.authorÇakmak, Hasan Basri
dc.contributor.authorÇağıl, Nurullah
dc.date.accessioned2019-05-10T09:39:35Z
dc.date.available2019-05-10T09:39:35Z
dc.date.issued2018
dc.identifier.citationErgun, Ş. B., Kocamış, S. İ., Çakmak, H. B., & Çağıl, N. (2018). The evaluation of the risk factors for capsular complications in phacoemulsification. International ophthalmology, 38(5), 1851-1861.en_US
dc.identifier.issn0165-5701
dc.identifier.urihttps://doi.org/10.1007/s10792-017-0667-3
dc.identifier.urihttps://hdl.handle.net/11491/731
dc.description.abstractPurposeTo determine and quantify the risk factors for disruption of lens capsule integrity during phacoemulsification.MethodsThe medical records of the patients who had undergone phacoemulsification cataract surgery and had a complication associated with lens capsule were reviewed. Consecutive cases were also reviewed in reverse chronological order as a control group. The exclusion criteria were pediatric cataracts, traumatic cataracts and lens dislocation. As a result, 403 uncomplicated and 83 complicated eyes were analyzed. The differences between the complication group and the group without complications regarding the risk factors were shown by employing the Chi-square test and Fischer's exact test. The variables having the level of significance (p<0.25) after the Chi-square test and Fischer's exact test were enrolled into the multiple stepwise logistic regression analysis.ResultsAge (60-69/80) (p=0.017), male gender (p=0.006), pupil size 3mm (p=<0.001), mature-brunescent cataract (p=<0.001), anterior chamber depth <2.5mm (p=0.001), posterior polar cataract (p=0.006), diabetic retinopathy(p=<0.001), coronary artery disease (p=0.098) and surgeon factor (junior resident/senior resident, p=0.015; senior resident/specialist in ophthalmology, p=0.026; junior resident/specialist in ophthalmology, p=0.020) were among the factors significantly related to a capsule complication. An Excel program has been developed according to these results to predict the probability of capsule complication.Conclusions Higher-risk cases can be predicted preoperatively, thus allowing surgeons to take appropriate precautions, better informing the patient and better selecting the cases especially for trainee surgeons.en_US
dc.language.isoeng
dc.publisherSpringer Netherlandsen_US
dc.relation.isversionof10.1007/s10792-017-0667-3en_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLens Capsule Integrityen_US
dc.subjectPhacoemulsificationen_US
dc.subjectPosterior Capsular Ruptureen_US
dc.subjectRisk Factorsen_US
dc.titleThe evaluation of the risk factors for capsular complications in phacoemulsificationen_US
dc.typearticleen_US
dc.relation.journalInternational Ophthalmologyen_US
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.identifier.volume38en_US
dc.identifier.issue5en_US
dc.identifier.startpage1851en_US
dc.identifier.endpage1861en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US


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