2M.D. Asistant Professor, Akdeniz University Faculty of Medicine, Department of Ophthalmology, Antalya/TURKEY
3M.D. Umraniye Training and Research Hospital, Eye Clinic, Istanbul/TURKEY
4M.D, Professor, Sakarya University, Training and Research Hospital, Eye Clinic, Sakarya/TURKEY Purpose: To evaluate the intraoperative difficulties and postoperative outcome following phacoemulsification surgery in eyes with cataract and corneal opacity.
Material and Methods: Records of 22 eyes of 22 patients who underwent phacoemulsification surgery for cataract and corneal opacity between January 2010-2013 were reviewed retrospectively. Age, gender, etiology of corneal opacities, preoperative and postoperative best corrected visual acuity, intraoperative and postoperative complications were evaluated.
Results: The mean age of the patients (14 male, 8 female) was 81.3±5.6 (66-89) years. Mean follow-up time was 9 (5-12) months postoperatively. The corneal opacity was a result of healed keratitis in 12 (54.5%) eyes, trauma in 5 (22.7%) eyes, and pterygium surgery in 5 (22.7%) eyes. Trypan blue (0.1%) was used in 12 eyes during the surgery and capsulorhexis was completed succesfully in all eyes. Corneal edema in 17 (77.2%) eyes and transient intraocular pressure increase in 6 eyes (27.2%) were noted as postoperative complications. Pre- and postoperative mean best corrected visual acuities were 1.38±0.76 LogMAR and 0.74±0.58 LogMAR respectively. Visual acuity improved in 18 eyes (81.8%) and remained same in 4 eyes (18.2%).
Conclusion: Ambulatory and useful vision can be achieved by phacoemulsification surgery in eyes with cataract and corneal opacity.
Keywords : Corneal opacity, cataract, phacoemulsification