Document Detail


Postoperative inflammation after lens epithelial cell removal: 2 year results.
MedLine Citation:
PMID:  11566519     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the influence on postoperative inflammation of lens epithelial cell (LEC) removal after phacoemulsification. SETTING: Department of Ophthalmology, University of Vienna, Vienna, Austria. METHODS: This randomized prospective single-surgeon study comprised 60 patients with senile cataract only. After a temporal clear corneal incision was made and phacoemulsification performed, no LECs were removed in Group A, LECs in the nasal half were removed in Group B, and LECs were removed from the entire anterior capsule in Group C. The LECs were removed with a Rentsch capsule curette (Geuder). In all eyes, a foldable hydrogel intraocular lens (Hydroview, Bausch & Lomb) was implanted. Anterior chamber flare was evaluated through dilated pupils in a double-masked fashion using a Kowa FC-1000 laser flare-cell meter (LFCM). Measurements were done preoperatively as well as 1, 3, 7, 14, and 28 days and 3, 6, 12, and 24 months postoperatively. RESULTS: In all 3 groups, the flare and cell values increased on the first postoperative day followed by a successive decrease thereafter. One month after surgery, the blood-aqueous barrier (BAB) was nearly restored in all groups. Between the first and fourth week, the flare values in Groups B and C were slightly lower than in Group A; however, mean flare and cell values among groups were not statistically significantly different at any measurement. CONCLUSION: The removal of LECs from the anterior capsule with a Rentsch curette did not influence postoperative BAB changes detected using an LFCM.
Authors:
A J Kruger; M Amon; C Abela-Formanek; G Schild; J Kolodjaschna; J Schauersberger
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of cataract and refractive surgery     Volume:  27     ISSN:  0886-3350     ISO Abbreviation:  J Cataract Refract Surg     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-09-21     Completed Date:  2001-11-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8604171     Medline TA:  J Cataract Refract Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1380-5     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, University of Vienna, Vienna, Austria.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Anterior Chamber / pathology,  physiopathology
Blood-Aqueous Barrier
Cell Count
Double-Blind Method
Epithelial Cells / cytology*
Female
Follow-Up Studies
Humans
Lens Capsule, Crystalline / cytology,  surgery*
Lens Implantation, Intraocular
Male
Middle Aged
Phacoemulsification*
Postoperative Complications / physiopathology*
Uveitis, Anterior / etiology,  physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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