The incidence of vitreous loss and visual outcome in patients undergoing cataract surgery in a teaching hospital.
<b>Purpose: </b> To determine the incidence of vitreous loss in patients undergoing cataract surgery and the visual outcome in a tertiary teaching hospital. <b> Methods:</b> Hospital records of 2095 consecutive patients undergoing cataract surgery between July 1999 and June...
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Wolters Kluwer Medknow Publications
2003-01-01
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doaj-7f4fac68991a4ad8aed7f110a5b70c2a2020-11-24T22:16:42ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47382003-01-015114552The incidence of vitreous loss and visual outcome in patients undergoing cataract surgery in a teaching hospital.Kothari MihirThomas RaviParikh RajulBraganza AndrewKuriakose ThomasMuliyil Jayprakash<b>Purpose: </b> To determine the incidence of vitreous loss in patients undergoing cataract surgery and the visual outcome in a tertiary teaching hospital. <b> Methods:</b> Hospital records of 2095 consecutive patients undergoing cataract surgery between July 1999 and June 2000 were reviewed in this non-concurrent cohort study. Incidence and visual outcome of vitreous loss managed using standard vitrectomy techniques were assessed for different cataract surgical techniques (extracapsular, Blumenthal technique and phacoemulsification) as well as at different levels of surgical training. The outcome was compared with matched cases without vitreous loss (controls). <b> Results: </b> Vitreous loss occurred in 160 of 2095 eyes (7.63%; CI -7 to 9.3): 8.3% for ECCE, 8.1% for the Blumenthal technique and 5% with phacoemulsification. Vision 6/18 was achieved in 85% of cases and 95% of controls. For experienced surgeons, 95% of the cases and controls had vision 6/18. 5.8 % of cases and 0.7% of controls had vision < 6/60. One patient in each group was blind following cataract surgery; both had operable cataracts in the fellow eye. <b> Conclusions:</b> The vitreous loss rate in this tertiary teaching hospital is relatively high. This complication, managed with standard surgical techniques, is compatible with good visual outcome. In eyes with vitreous loss, the final visual acuity achieved by experienced surgeons was similar to that in uncomplicated cases.http://www.ijo.in/article.asp?issn=0301-4738;year=2003;volume=51;issue=1;spage=45;epage=52;aulast=KothariCataract surgeryvitreous lossvisual outcomeanterior vitrectomyposterior capsule tear |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kothari Mihir Thomas Ravi Parikh Rajul Braganza Andrew Kuriakose Thomas Muliyil Jayprakash |
spellingShingle |
Kothari Mihir Thomas Ravi Parikh Rajul Braganza Andrew Kuriakose Thomas Muliyil Jayprakash The incidence of vitreous loss and visual outcome in patients undergoing cataract surgery in a teaching hospital. Indian Journal of Ophthalmology Cataract surgery vitreous loss visual outcome anterior vitrectomy posterior capsule tear |
author_facet |
Kothari Mihir Thomas Ravi Parikh Rajul Braganza Andrew Kuriakose Thomas Muliyil Jayprakash |
author_sort |
Kothari Mihir |
title |
The incidence of vitreous loss and visual outcome in patients undergoing cataract surgery in a teaching hospital. |
title_short |
The incidence of vitreous loss and visual outcome in patients undergoing cataract surgery in a teaching hospital. |
title_full |
The incidence of vitreous loss and visual outcome in patients undergoing cataract surgery in a teaching hospital. |
title_fullStr |
The incidence of vitreous loss and visual outcome in patients undergoing cataract surgery in a teaching hospital. |
title_full_unstemmed |
The incidence of vitreous loss and visual outcome in patients undergoing cataract surgery in a teaching hospital. |
title_sort |
incidence of vitreous loss and visual outcome in patients undergoing cataract surgery in a teaching hospital. |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Ophthalmology |
issn |
0301-4738 |
publishDate |
2003-01-01 |
description |
<b>Purpose: </b> To determine the incidence of vitreous loss in patients undergoing cataract surgery and the visual outcome in a tertiary teaching hospital. <b> Methods:</b> Hospital records of 2095 consecutive patients undergoing cataract surgery between July 1999 and June 2000 were reviewed in this non-concurrent cohort study. Incidence and visual outcome of vitreous loss managed using standard vitrectomy techniques were assessed for different cataract surgical techniques (extracapsular, Blumenthal technique and phacoemulsification) as well as at different levels of surgical training. The outcome was compared with matched cases without vitreous loss (controls). <b> Results: </b> Vitreous loss occurred in 160 of 2095 eyes (7.63%; CI -7 to 9.3): 8.3% for ECCE, 8.1% for the Blumenthal technique and 5% with phacoemulsification. Vision 6/18 was achieved in 85% of cases and 95% of controls. For experienced surgeons, 95% of the cases and controls had vision 6/18. 5.8 % of cases and 0.7% of controls had vision < 6/60. One patient in each group was blind following cataract surgery; both had operable cataracts in the fellow eye. <b> Conclusions:</b> The vitreous loss rate in this tertiary teaching hospital is relatively high. This complication, managed with standard surgical techniques, is compatible with good visual outcome. In eyes with vitreous loss, the final visual acuity achieved by experienced surgeons was similar to that in uncomplicated cases. |
topic |
Cataract surgery vitreous loss visual outcome anterior vitrectomy posterior capsule tear |
url |
http://www.ijo.in/article.asp?issn=0301-4738;year=2003;volume=51;issue=1;spage=45;epage=52;aulast=Kothari |
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