The evaluation of the risk factors for capsular complications in phacoemulsification

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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.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
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.
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.
dc.identifier.doi10.1007/s10792-017-0667-3
dc.identifier.endpage1861en_US
dc.identifier.issn0165-5701
dc.identifier.issue5en_US
dc.identifier.scopusqualityQ2
dc.identifier.startpage1851en_US
dc.identifier.urihttps://doi.org/10.1007/s10792-017-0667-3
dc.identifier.urihttps://hdl.handle.net/11491/731
dc.identifier.volume38en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Netherlands
dc.relation.ispartofInternational Ophthalmology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
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 phacoemulsification
dc.typeArticle

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