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Scripta Scientifica Medica

White cataract - challenges and solutions

Dessislava Stateva

Abstract

Introduction: Cataract surgery is the most common ophthalmological surgical intervention. It may have different outcomes depending on the cataract type and the accompanying eye or systemic diseases.

Material and Methods: A total of 41 white cataract cases were reviewed. Preoperative examination included visual acuity, detailed slitlamp evaluation, applanation tonometry, keratometry, and axial length measurements.

Results: Among our 41 cases there was a slight prevalence of males and urban citizens. The greatest challenge was the capsulorhexis. For its successful completion we used heavy viscous substance and capsulotome.

Conclusion: In spite of the precise preoperative examination white cataract could `surprise` the surgeon during the course of the operation.


Keywords

white cataract; phacoemulsification; continuous curvilinear capsulorhexis

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References

Xu L, Cui T, Zhang S, Sun B, Zheng Y, Hu A, Li J, Ma K, Jonas JB. Prevalence and risk factors of lens opacities in urban and rural Chinese in Beijing. Ophthalmology, 2006;113(5):747-755.

Pineda R, Espaillat A, Perez VL, Rowe SG. The complicated cataract. The MEEI phacoemulsification practice handbook. Boston: Slack. 2001. 163 p.

Jacobs DS, Cox TA, Wagoner MD, Ariyasu RG, Karp CL. Capsule staining as an adjunct to cataract surgery: a report from the American Academy of Ophthalmology. Ophthalmology, 2006;113(4):707-713. 4. Dada VK, Sharma N, Sudan R, Sethi H, Dada T, Pangtey MS. Anterior capsule staining for capsulorhexis in cases of white cataract: comparative clinical study. J Cataract Refract Surg, 2004;30(2):326-333.

Vasavada A, Singh R, Desai J. Phacoemulsification of white mature cataracts. J Cataract Refract Surg, 1998;24(2):270-277.

Greenberg PB, Tseng VL, Wu WC, Liu J, Jiang L, Chen CK, Scott IU, Friedmann PD. Prevalence and predictors of ocular complications associated with cataract surgery in United States veterans. Ophthalmology, 2011;118(3):507-514.

Chakrabarti A, Singh S. Phacoemulsification in eyes with white cataract. J Cataract Refract Surg, 2000;26(7):1041-1047.

Rosenfeld SI, Johns KJ eds. Basic and clinical science course: Section 11 Lens and Cataract. San Francisco: American Academy of Ophthalmology. 2004. 176 p.




DOI: http://dx.doi.org/10.14748/ssm.v46i4.1012

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About The Author

Dessislava Stateva
Medical University of Pleven
Bulgaria

Eye Clinic

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