Endocapsular cataract extraction

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Abstract

Endocapsular (intercapsular) cataract surgery has recently gained popularity, particularly in Europe.

We describe our technique of endocapsular cataract extraction and insertion of an intraocular lens and prospectively compare 93 eyes which underwent endocapsular cataract extraction with 83 which underwent a standard extracapsular procedure. There was no apparent difference between the two groups in visual outcome. Preoperative and post-operative complications were more common in the endocapsular group: posterior synechiae formation in the latter occurred in 19%. In 90% of the endocapsular cataract extractions, the lens was placed 'in the bag' at the time of surgery but at three months only 53% remained 'in the bag'. Displacement of one haptic from the capsular bag was associated with symptomatic lens decentration requiring repositioning in four eyes in the endocapsular group and two eyes in the extracapsular group.

References

  1. 1

    Baikoff G : Insertion of the Simcoe posterior chamber lens into the capsular bag. Am Intraoc Implant Soc J 1981, 7: 267–9.

  2. 2

    Anis AY : Illustrated step by step description of the Anis dry extracapsular cataract extraction technique with in the bag lens implantation. Sem Ophthalmol 1986, 1: 113–29.

  3. 3

    Galand A : A simple method of implantation within the capsular bag. Am Intraoc Implant Soc J 1983, 9: 330–2.

  4. 4

    Galand A, Van Oye R, Budo C, Goes F, Foets B : Results of implantation in the capsular bag. A short term review of 1588 cases. Trans Ophthalmol Soc UK 1985, 104: 563–6.

  5. 5

    Nishi, O : Removal of lens epithelial cells by ultrasound in endocapsular cataract surgery. Ophthal Surg 1987, 18: 577–80.

  6. 6

    Hansen O, Tetz MR, Solomon KD, et al. Decentration of flexible loop posterior chamber lenses in a series of 222 postmortem eyes. Ophthalmology 1988, 95: 344–9.

  7. 7

    Cheng H and Bates K : Positive correlation of corneal thickness and endothelial cell loss. Arch Ophthalmol 1988, 106: 920–2.

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Correspondence to J M Twomey.

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Rosen, P., Twomey, J. & Kirkness, C. Endocapsular cataract extraction. Eye 3, 672–677 (1989) doi:10.1038/eye.1989.103

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