Surgical technique for atopic cataract Yuko Goto 1 , Akira Obana 1 , Nobuhiko Ueda 1 , Tokuhiko Miki 1 1Dept of Ophthalmol, Osaka City Univ Med Sch pp.277-282
Published Date 1995/2/15
DOI https://doi.org/10.11477/mf.1410904178
  • Abstract
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We reviewed surgically treated 18 eyes of atopic cataract in 14 patients over the past 5-year period. Retinal detachment was present in 6 eyes and absent in 12 eyes at the time of cataract surgery. In 6 eyes in the latter group, no case developed retinal detachment following extracapsular cataract extraction with intact posterior capsule. Eventual retinal detachment could be prevented in the other 3 eyes with ruptured posterior capsule either during surgery or after Nd-YAG laser capsulotomy by performing anterior vitrectomy and scleral encircling. Retinal detachment in 6 eyes, which was present at the time of cataract surgery, was due to tear in ora serrata or ciliary body. It was effectively treated by combined procedure of lesectomy, vitrectomy and scleral encircling.

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