The Experts below are selected from a list of 8304 Experts worldwide ranked by ideXlab platform
Norman S. Jaffe - One of the best experts on this subject based on the ideXlab platform.
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Extracapsular Cataract Extraction WITH A POSTERIOR CHAMBER INTRAOCULAR LENS–TECHNIQUE AND RESULTS
Australian journal of ophthalmology, 2007Co-Authors: Norman S. JaffeAbstract:The author's preferred technique for Extracapsular Cataract Extraction with insertion of a posterior chamber intraocular lens implant is described. Although automated devices are not available and are unattractive to many ophthalmologists, the author finds such equipment provides the safest means of making the conversion from intracapsular to Extracapsular Cataract Extraction. In the planned Extracapsular Cataract Extraction, a "beer can" anterior capsulotomy is performed and the nucleus is removed as described. The residual lens cortical material is aspirated using the Cavitron machine. The Cavitron machine is also used for phacoemulsification which is performed in the posterior chamber. A Shearing type posterior chamber lens is used when indicated. A primary posterior capsulotomy is performed routinely. An analysis of the first 800 such procedures is made with each case being examined 11-14 months postoperatively. Compared to intracapsular Cataract Extraction with an intraocular lens, the results are favourable, especially regarding the rate of cystoid macular edema, retinal detachment, and corneal edema.
Abha Kumar - One of the best experts on this subject based on the ideXlab platform.
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Phacoemulsification versus Extracapsular Cataract Extraction: where do we stand?
Current opinion in ophthalmology, 2011Co-Authors: Suzann Pershing, Abha KumarAbstract:PURPOSE OF REVIEW Cataract surgery at present is divisible into two general techniques: manual Extracapsular Cataract Extraction and phacoemulsification--with ECCE further separated into the traditional form and small-incision Cataract surgery. This review will discuss updates in surgical techniques, outcome comparisons, cost analysis, and the continued role of Extracapsular Cataract Extraction in Western countries. RECENT FINDINGS Surgical techniques for manual Extracapsular Cataract Extraction have undergone much refinement, with numerous descriptions of techniques in a recent literature. Studies that have emerged in the last several years allow us to compare surgical results between different techniques and suggest that there is little difference in final outcome when each surgery is done well. Overall cost-effectiveness and suitability of each technique vary based on location and facilities. SUMMARY Manual Extracapsular Cataract Extraction (especially small-incision versions) occupies an important place in modern Cataract surgery, and, while not a replacement for phacoemulsification in Western countries, should be part of a Cataract surgeon's overall skill set.
A Abiose - One of the best experts on this subject based on the ideXlab platform.
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audit of outcome of an Extracapsular Cataract Extraction and posterior chamber intraocular lens training course
British Journal of Ophthalmology, 2000Co-Authors: Mahmoud B Alhassan, Fatima Kyari, Ibrahim B Achi, Chinenyem P Ozemela, A AbioseAbstract:BACKGROUND—A training course for Cataract surgery with intraocular lens implantation was organised in April 1997 at the National Eye Centre, Kaduna, Nigeria. Operations were performed by six Nigerian consultant ophthalmologists under the supervision of two surgeons from Aravind Eye Hospital, India. METHODS—A total of 175 eyes with uncomplicated Cataracts were operated on after careful selection. All but six patients had Extracapsular Cataract Extraction with posterior chamber intraocular lens insertion during the training programme. RESULTS—The mean age of the patients at operation was 54.2 years. One hundred and forty five of the operated eyes (85.8%) were blind before surgery of which six (3.6%) remained blind postoperatively. An uncorrected visual acuity of 6/60 or better was achieved in 87.3% eyes after surgery. Forty one patients (24.3%) were blind before surgery, two of whom (1.2%) remained blind afterwards. The most common intraoperative complication was posterior capsular rent which occurred in 10 eyes (5.7%); striate keratopathy/corneal oedema and cortical remnant were the most common immediate postoperative complications, occurring in 44.6% and 8.0%, respectively. CONCLUSION—With adequate surgical skills, Extracapsular Cataract Extraction with posterior chamber intraocular lens implantation offers good visual rehabilitation even under training conditions.
Anna Lundvall - One of the best experts on this subject based on the ideXlab platform.
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Exfoliation syndrome and Extracapsular Cataract Extraction with implantation of posterior chamber lens.
Acta ophthalmologica, 2009Co-Authors: Charlotta Zetterström, Göran Olivestedt, Anna LundvallAbstract:Extracapsular Cataract Extraction followed by implantation of a one-piece posterior chamber polymethylmethacrylate intraocular lens (IOL) into the capsular bag was performed in 25 eyes with exfoliation syndrome and 20 control eyes. The patients were investigated preoperatively and then 1 day, 1 week, 3, 6 and 12 months after surgery. Preoperatively, maximal pupil dilatation was significantly smaller in eyes with exfoliation syndrome compared to controls. During surgery the incidence of complications such as ruptures of the zonule or posterior lens capsule, were higher in eyes with exfoliation syndrome. Furthermore, postoperative complications, such as fibrinoid reaction anterior to the IOL followed by posterior synechias and cell deposits, were more common in eyes with exfoliation syndrome compared to control eyes. The results imply that compared to control eyes, eyes with exfoliation syndrome are likely to present more complications both during Extracapsular Cataract Extraction with implantation of intraocular lenses and postoperatively.
Stephen J Phipps - One of the best experts on this subject based on the ideXlab platform.
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visual outcomes and incidence of vitreous loss for residents performing phacoemulsification without prior planned Extracapsular Cataract Extraction experience
American Journal of Ophthalmology, 2003Co-Authors: David A Quillen, Stephen J PhippsAbstract:Abstract Purpose Phacoemulsification Cataract surgery is one of the most important surgical procedures learned by ophthalmology residents during their residency training. We evaluated the visual outcomes and incidence of vitreous loss of phacoemulsification Cataract surgeries performed by ophthalmology residents without prior planned Extracapsular Cataract Extraction experience. Design Interventional case series. Methods A retrospective review was performed on 332 consecutive phacoemulsification Cataract surgeries performed by third-year ophthalmology residents from July 1999 through June 2001. Data included are preoperative and postoperative best-corrected visual acuity, preexisting ocular comorbidities, and intraoperative and postoperative complications. Results Postoperative best-corrected visual acuity was 20/40 or better in 89% of eyes. After excluding the cases with preexisting ocular comorbidities, the percentage increased to 97.7%. Vitreous loss occurred in 4.8% of cases. Conclusions Ophthalmology residents can learn to perform phacoemulsification Cataract surgery safely and effectively without prior planned Extracapsular Cataract Extraction experience.
