We read with interest the article ‘Posterior polar cataract surgery—A posterior segment approach’ by Ghosh et al.1 We would like to highlight certain points that have not been addressed in the paper.
First, all the patients operated upon by the posterior approach will undergo sulcus fixation of intraocular lens, with its inherent side effects as opposed to the anterior approach in which even in the worst of situations more than 50% of the cases can undergo in the bag implantation of intraocular lens.
Second, the patients in this study underwent implantation of ‘silicon’ intraocular lens in the sulcus with open posterior capsule. As these patients are also at a higher risk of retinal detachment, subsequent reattachment surgery requiring silicon oil might be challenging.2, 3
Finally, the authors state that in young patients the posterior hyaloid was not peeled. These cases are predisposed to having an epiretinal membrane later, but no mention has been made of that aspect.
References
Ghosh YK, Kirkby GR . Posterior polar cataract surgery—a posterior segment approach. Eye 2008; 22 (6): 844–848.
Apple DJ, Federman JL, Krolicki TJ, Sims JC, Kent DG, Hamburger HA et al. Irreversible silicone oil adhesion to silicone intraocular lenses. A clinicopathologic analysis. Ophthalmology 1996; 103: 1555–1561.
Eaton AM, Jaffe GJ, McCuen II BW, Mincey GJ . Condensation on the posterior surface of silicone intraocular lenses during fluid-air exchange. Ophthalmology 1995; 102: 733–736.
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Kumar, V., Ghosh, B., Kaul, U. et al. Posterior polar cataract surgery: a posterior segment approach. Eye 23, 1879 (2009). https://doi.org/10.1038/eye.2008.347
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DOI: https://doi.org/10.1038/eye.2008.347