The evaluation of the risk factors for capsular complications in phacoemulsification
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Tarih
2018
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer Netherlands
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
PurposeTo 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.
Açıklama
Anahtar Kelimeler
Lens Capsule Integrity, Phacoemulsification, Posterior Capsular Rupture, Risk Factors
Kaynak
International Ophthalmology
WoS Q Değeri
N/A
Scopus Q Değeri
Q2
Cilt
38
Sayı
5
Künye
Ergun, 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.
