Intraocular lens implantation performed first to protect the posterior capsule in Morgagnian cataracts during phacoemulsification
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Wei Chi. State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, Guangdong Province, China. chiwei@mail.sysu.edu.cn; Xiao-Yong Yuan. Tianjin Eye Hospital, Tianjin Key Laboratory of Ophthalmology and Visual Science, Clinical College of Ophthalmology, Tianjin Medical University, Tianjin 300020, China. yuanxy_cn@hotmail.com

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Supported by National Natural Science Foundation of China (No.81570830, No.81670817); Key R&D Program Projects in Shaanxi Province (No.2017SF-273); the Tianjin Research Program of Application Foundation and Advanced Technology (No.17JCYBJC27200); the Science & Technology Foundation for Selected Overseas Chinese Scholar, Bureau of Personnel of China, Tianjin, and Talent Innovation Group of 131, Bureau of Personnel, Tianjin, Tianjin Science and Technology Project (Popularization of Science 17KPHDSF00230); Xi’an Science and Technology Project [No.2017116SF/YX010(1)].

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    Abstract:

    This study evaluated the safety of a modified method to implant an intraocular lens (IOL) into the capsular bag immediately after capsulorhexis with a whole or partial nucleus to protect the posterior capsule (PC) during phacoemulsification in a series of 12 Morgagnian cataracts. For 3 cases of hypermature cataracts with smaller and rigid nuclei, after a complete capsulorhexis, an IOL was directly inserted into the capsular bag, which protected the PC during the subsequent phacoemulsification process in the iris plate. For the other 9 cases with larger and softer nuclei, after the nucleus was partially emulsified, the IOL was inserted into the bag. Even with an obvious surge for some cases, the surgeries were uneventful in all 12 cases, with no PC rent or vitreous loss. IOL implantation into the capsular bag with a whole or partial nucleus can provide effective protection for the PC for hypermature cataract during phacoemulsification.

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Xia Hua, Yongxiao Dong, Ling Wang, et al. Intraocular lens implantation performed first to protect the posterior capsule in Morgagnian cataracts during phacoemulsification. Int J Ophthalmol, 2019,12(7):1215-1218

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Publication History
  • Received:January 11,2019
  • Revised:April 25,2019
  • Adopted:
  • Online: June 11,2019
  • Published: