Back to Search
Start Over
Fibres found in the eye during and after phacoemulsification cataract surgery
- Source :
- Eye. 28:958-961
- Publication Year :
- 2014
- Publisher :
- Springer Science and Business Media LLC, 2014.
-
Abstract
- Fibres are regularly found within the delivery cartridge (DC) and in the anterior chamber (AC) during phacoemulsification cataract surgery (PCS) and postoperatively. The purpose of this study was to identify their frequency and possible significance. Dedicated ophthalmic day surgery. Prospective, consecutive, single-surgeon, cohort study. In 639 eyes undergoing PCS, the presence of fibres was documented in or on both the DC and in the AC intraoperatively, and in the AC postoperatively. The intraoperative method of fibre removal was documented. Corrected distance visual acuity (CDVA) was recorded preoperatively, and at day 1, week 1, and week 4 postoperatively. The incidence of clinical cystoid macular oedema (CMO) and endophthalmitis in the retained fibre subcohort was compared with that of the non-fibre subcohort. A total of 5.2% of the operated eyes had a fibre or fibres in or on the DC, which in all cases was removed with forceps intraoperatively. A total of 14.6% of operated eyes had a fibre or fibres in the AC intraoperatively; these were removed by irrigation/aspiration. Postoperatively, five eyes (0.78%) had a fibre in the AC. There was no significant difference in postoperative CDVA between the fibre and non-fibre subcohorts (P=0.26), and no clinically significant CMO or endophthalmitis in either subcohort. Most fibres seen on the DC or in the eye are sterile and non-inflammatory. However, there have been reports of endophthalmitis attributed to retained fibres. In this study, there were no complications attributable to the fibres, but their removal may minimise any adverse potential.
- Subjects :
- Male
medicine.medical_specialty
Visual acuity
genetic structures
Anterior Chamber
medicine.medical_treatment
Forceps
Visual Acuity
Glaucoma
Macular Edema
Ophthalmic pathology
Cohort Studies
Postoperative Complications
Endophthalmitis
Lens Implantation, Intraocular
Ophthalmology
medicine
Humans
Prospective Studies
Intraoperative Complications
Macular edema
Aged
Aged, 80 and over
Phacoemulsification
business.industry
Middle Aged
Cataract surgery
medicine.disease
eye diseases
Surgery
Eye Foreign Bodies
Clinical Study
Female
sense organs
medicine.symptom
business
Subjects
Details
- ISSN :
- 14765454 and 0950222X
- Volume :
- 28
- Database :
- OpenAIRE
- Journal :
- Eye
- Accession number :
- edsair.doi.dedup.....87980a835ef9b66b95639e2c6c7e9508