Intraocular lens implantation performed first to protect the posterior capsule in Morgagnian cataracts during phacoemulsification

• 作者: Jianying Du Ling Wang Wei Chi Xia Hua Xiaoyong Yuan Yongxiao Dong Zhiqing Li
• 来源期刊: 国际眼科杂志:英文版
• 学科: 医学
• 关键词: INTRAOCULAR lens hypermature CATARACT Morgagnian CATARACT PHACOEMULSIFICATION POSTERIOR CAPSULE
• 年，卷（期）: gjykzzywb_2019,（7）
• 页码范围: 1215-1218
• 页数: 4页
• 分类号: R

摘要

This study evaluated the safety of a modified method to implant an intraocular lens (IOL) into the capsular bag immediately after capsulorhexis with a whole or partial nucleus to protect the posterior capsule (PC) during phacoemulsification in a series of 12 Morgagnian cataracts. For 3 cases of hypermature cataracts with smaller and rigid nuclei, after a complete capsulorhexis, an IOL was directly inserted into the capsular bag, which protected the PC during the subsequent phacoemulsification process in the iris plate. For the other 9 cases with larger and softer nuclei, after the nucleus was partially emulsified, the IOL was inserted into the bag. Even with an obvious surge for some cases, the surgeries were uneventful in all 12 cases, with no PC rent or vitreous loss. IOL implantation into the capsular bag with a whole or partial nucleus can provide effective protection for the PC for hypermature cataract during phacoemulsification.