Mayuresh P. Naik
Department of Ophthalmology, V.M.M.C & Safdarjung Hospital , NewDelhi
Title: To Study the Effect of Polishing of the Posterior Capsule and Retro-IOL Irrigation-Aspiration after IOL Insertion on the Incidence of Early Post-Operative Capsular Block Syndrome(CBS) and Post-Cataract Opacification(PCO).
Biography
Biography: Mayuresh P. Naik
Abstract
200 patients selected from January 2015 to July 2015, were randomly allocated to two groups of 100 : Group A underwent polishing of the posterior capsule and retro-IOL irrigation-aspiration after IOL insertion while Group B underwent smooth uneventful phacoemulsification and in-the-bag IOL insertion but without polishing of the bag after IOL insertion. Post-operative assessment by slit-lamp and anterior segment OCT was done at 1 week, 1 month , 3 months and 6 months. Slit-lamp examination was done for any anterior chamber reaction. Early post-operative capsular block syndrome was diagnosed by postoperative myopia or refractive surprises when a shallow anterior chamber and a distended capsular bag with IOL separation are found. Post-cataract opacification was seen on slit-lamp examination. RESULTS: Group A did not have any cases of early post-operative CBS and 4 cases of PCO at 6 months. Group B had 6 cases of early post-operative CBS and 13 cases of PCO at 6 months. The difference was statistically significant both for early post-operative CBS (p=0.0289) and PCO at 6 months (p=0.0398). CONCLUSIONS: Polishing of the posterior capsule and retro-IOL irrigation-aspiration after IOL insertion significantly decreases the incidence of of early post-operative capsular block syndrome (CBS) and post-cataract opacification (PCO).