Intraoperative complications of phacoemulsification in eyes with and without pseudoexfoliation
| Autor: | Yair Hod, Moshe Herskovitz, Michael Hyams, Nurit Mathalone, David Israeli, Orna Geyer |
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| Rok vydání: | 2004 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Exfoliation Syndrome Risk Factors Ophthalmology medicine Humans Intraoperative Complications Aged Univariate analysis Phacoemulsification business.industry Pseudoexfoliation Incidence (epidemiology) Incidence Odds ratio eye diseases Sensory Systems Confidence interval Surgery Phacodonesis Case-Control Studies Female Safety business Complication |
| Zdroj: | Journal of cataract and refractive surgery. 31(5) |
| ISSN: | 0886-3350 |
| Popis: | Purpose To determine the intraoperative complications in a large series of phacoemulsification procedures, including patients with and without pseudoexfoliation, excluding those with marked phacodonesis or lens subluxation. Setting Department of Ophthalmology, Carmel Medical Centre, Haifa, Israel. Methods This institutional case-control study included 1501 consecutive phacoemulsification procedures: 137 eyes with pseudoexfoliation and 1364 eyes without this condition. Baseline demographics and clinical factors were collected from the medical files. A comparative analysis of the incidence of intraoperative complications in eyes with or without pseudoexfoliation was calculated. Univariate analysis and multiple logistic regression were used to identify ocular factors that predicted intraoperative complications. Results There was no significant difference (P>.05) in the rate of intraoperative complications between the pseudoexfoliation (5.8%) and control (4.0%) groups. There were no significant differences in the incidence of capsular breaks, vitreous loss, and zonular ruptures without vitreous loss in the 2 groups. Pseudoexfoliation did not confer a statistically higher risk for intraoperative complications (odds ratio 1.62, 95% confidence interval 0.74-3.55). Conclusion Phacoemulsification by experienced surgeons is safe in eyes with pseudoexfoliation without marked phacodonesis or lens subluxation. |
| Databáze: | OpenAIRE |
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