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A short film showing our technique of combined penetrating keratoplasty and intracapsular cataract extraction was shown, and the postoperative results in 72 eyes after an average of 3 years were reported.
PURPOSE: Cataract surgery is increasing in Australia and represents a significant burden on limited health resources. This study examines the frequency and outcomes of cataract surgery for patients who were hospitalized overnight compared with those treated as day surgery cases. METHODS: Medical records of 671 consecutive admissions for cataract surgery at the Royal Victorian Eye and Ear Hospital were reviewed. Data analysed included demographic features, insurance status, length of hospitalization, ophthalmic conditions, medical conditions, social problems and planned surgical technique. Ophthalmic and anaesthetic complications, active ophthalmic and medical interventions were also studied. RESULTS: Of the 671 patient admissions for cataract during the study period, 226 (33.4%) were hospitalized overnight. Factors significantly associated with overnight hospitalization in univariate analyses include older age, female sex, country residence, Veterans' Affairs insurance, monocular vision status, pre-existing ischaemic heart disease, pre-existing asthma/chronic obstructive lung disease, absence of carer, transportation problems, planned extra-capsular cataract extraction technique, ophthalmic complications and active ophthalmic and/or medical interventions. After adjusting for possible confounding factors using backwards stepwise multivariate logistic regression models all except pre-existing ischaemic heart disease and ophthalmic complications were significantly associated with overnight admission for cataract surgery. In total, 14 cases (2.1%) needed active ophthalmic and/or medical interventions, 13 overnight cases and one day case. CONCLUSIONS: These data suggest that many patients who are hospitalized overnight for cataract surgery could be safely treated as day cases. Such a shift in the pattern of care for cataract surgery could provide a significant potential for health care savings.
A comprehensive review of 1,000 cases of intracapsular cataract extraction in the hands of a single surgeon was undertaken. Eyes with identifiable pathology in addition to cataract noted prior to surgery have an increased incidence of complications. Eyes operated at a younger age have an increased incidence of inadvertent extracapsular extraction, vitreous loss, flat anterior chamber, conjunctival bleb formation, and retinal detachment. Adoption of cryosurgery for lens removal reduced the incidence of inadvertent extracapsular extraction in eyes predisposed to complication. The use of monofilament nylon suture in a continuous closure reduced the incidence of bleb formation and eliminated the necessity for re-operation for complications of wound closure.
Thirty-six patients with significant cataracts and glaucoma had combined extracapsular cataract extraction, posterior chamber lens implantation, and trabeculectomy. Follow-up ranged from three months to four years. Significant visual improvement and reduction in intraocular pressure were noted. This procedure seems to be a viable alternative in patients suffering from combined advanced glaucoma and advanced cataracts.
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Representative lens styles of four different intraocular lens groups after cataract extraction by phacoemulsification are compared. Certain cases were excluded to minimize inconsistency. Postoperative visual acuities and complications of each lens type are compared.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
PURPOSE: To analyse results of cataract surgery with intraocular lens implantation in eyes with previous glaucoma surgery. MATERIAL AND METHODS: In the years 1994-1996 in 44 eyes of 39 patients (13 males and 26 females) cataract surgery was performed. The follow-up ranged from 3 to 12 months (mean 8.5 months). The time interval between glaucoma surgery and cataract surgery ranged from 1 month to 40 years. The most frequent kind of glaucoma surgery was trabeculectomy (77.3%). An inverse corneal incision and envelope capsulotomy was performed in every eye, thirty eight percent required synechiolysis and twenty percent iridoplastic surgery. RESULTS: Intraoperatively there were 2 cases of posterior capsule tears with vitreous loss and 4 mild hemorrhages into anterior chamber. The most common postoperative complications were Descemet's membrane folds (36.4%), fibrinous exudate in anterior chamber (27.3%) and transient corneal oedema (9.2%). Fifty percent of eyes achieved the best corrected visual acuity-5/8 and better. Postoperative astigmatism mostly with the rule was observed in 86.4% eyes. Postoperative intraocular pressure was unchanged in 81.8% eyes, and in 13.8 percent of eyes preoperative glaucoma medication was no longer required. CONCLUSIONS: The technique of extracapsular cataract extraction with intraocular lens implantation is a safe procedure giving good visual rehabilitation and having no influence on glaucoma control in patients who had previous glaucoma surgery.
In summary, corneal surgery with or without simultaneous cataract extraction and intraocular lens implantation, or in the presence of an intraocular lens, is justified in view of possible good, clear grafts (80% of our cases) and vision better than 20/50 (60% of our cases).