Phacoemulsification in posterior polar cataract: Experience from a tertiary eye care Centre in North India. Malhotra C(1), Dhingra D(1), Nawani N(1), Chakma P(1), Jain AK(1). Author information: (1)Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India Posterior Polar Cataract Management Abhay R. Vasavada, MS, FRCS (England)*, Vaishali Vasavada, MS Iladevi Cataract & IOL Research Centre, Raghudeep Eye Hospital, Gurukul Road, Memnagar, Ahmedabad 380052, Gujarat, India INTRODUCTION Posterior polar cataracts (PPC) are a challenge for every cataract surgeo Phacoemulsification in posterior polar cataract: Experience from a tertiary eye care Centre in North India Chintan Malhotra, Deepika Dhingra, Nishant Nawani, Partha Chakma, Arun K Jai Indian patients probably delay their visits to the ophthalmologist longer than their counterparts in the United States. Posterior polar cataracts were found to be bilateral in 20 patients. Evidence of the presence of posterior polar cataract was found in at least 1 other member of the patient's family in 10 cases, all with bilateral cataracts Posterior polar cataract (PPC) poses a unique challenge to surgeons during cataract surgery. 1 Depending on the clinical presentation, PPC can be divided into three categories: (1) PPC with.
A new locus for autosomal dominant posterior polar cataract in Moroccan Jews maps to chromosome 14q22-23. J Med Genet, 43, p. e50 (2006). ↑ Völcker HE et. al. Surgery of posterior polar cataract in persistent hyperplastic primary vitreous. Klin Monbl Augenheilkd. 1983 Aug;183(2):79-85 Posterior polar cataract present a unique challenge to cataract surgeons because of the high risk of posterior capsule rupture.1 - 3 Its incidence has been reported to vary from 26%1 to 36%.2 An important clinical feature of posterior polar cataract is the significant incidence of extreme capsular weakness (or perhaps even absence) in the area of polar opacity.4 In approximately 20% of cases.
PPC was graded according to the classification given by Singh, that is, Type 1: posterior polar opacity associated with a posterior subcapsular cataract (PSC); Type 2: sharply defined round or oval opacity with ringed appearance like an onion, with or without greyish spots at the edge; Type 3: sharply defined round or oval white opacity with. Posterior polar cataract (PPC) is a relatively uncommon form of congenital cataract accounting for around 0.5% to 2% of the total cataract. It presents a special challenge to cataract surgeon because of high likelihood of post-erior capsular rent (PCR) and nucleus drop during surgery. Although incidence of posterior capsular dehiscence has been reported to be 26% - 36% in older studies, its incidence has been reduced to 7.1% - 16.4% according to recent study High risk cataract surgery in a pediatric patient. Posterior polar cataract with deficient posterior capsule and more... Mittendorf opacity with anterior hy..
Posterior Polar Cataract. Emily S. Birkholz, MD; Thomas A. Oetting, MD; Anna S. Kitzmann, MD. January 22, 2011. Chief Complaint: 38-year-old male with blurry distance vision History of Present Illness: The patient noticed blurry distance vision and problems seeing at night for years, more noticeably in his left eye than in his right. When driving at night, he noticed a significant amount of. Posterior polar cataracts present a unique challenge for the cataract surgeon. This review describes the steps a surgeon can take to overcome these challenges for the successful.
Cataract Surgery. Dr.Daljit Singh Eye Hospital is a pioneer in Cataract Surgery and Lens Implantation in India. The first lens implantation was done by Dr.Daljit Singh in 1976. With time , and with the advances in science and technology , Dr Daljit Singh Eye Hospital remains at the forefront of Cataract Treatment Technology Purpose: To evaluate morphological characteristics and intraoperative dynamics of posterior polar cataract (PPC) using intraoperative optical coherence tomography (iOCT). Setting: Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. Design: Prospective interventional study In India, almost 80% of blindness is attributed to cataract and there is a high prevalence of lens opacities. 5, 6 Moreover, lens opacities have an earlier age of onset in India compared with. Effect Of Size And Thickness Of Posterior Polar Cataract On Surgical Outcome In SICS. (WOC 2012 Abu Dhabi) Effect Of Size And Thickness Of Posterior Polar Cataract On Surgical Outcome In Phacoemulsification. (WOC 2014 Tokyo Japan ) Pearls of Toric IOL's How to Evaluate Our Cases (IIRSI 2016 Chennai India
Posterior capsular opacification, also known as after-cataract, is a condition in which months or years after successful cataract surgery, vision deteriorates or problems with glare and light scattering recur, usually due to thickening of the back or posterior capsule surrounding the implanted lens, so-called 'posterior lens capsule opacification' diagnosed with posterior polar cataract and who underwent surgery at the L V Prasad Eye Institute, Hyderabad, India, between January 2000 and December 2005. The following data were collected from each record: age, sex, preoperative visual acuity, type of surgery, surgical complication and postoperative visual outcome at the 6-week follow-up visit
Although cataract surgery in posterior polar cataract is associated with posterior capsular rent and nucleus drop, by taking precautions the rate of complication can be decreased. The aim of this article is to review the etiology, pathogenesis, clinical features, and management of posterior polar cataract . Posterior polar cataract (PPC) poses a unique challenge to surgeons during cataract surgery. 1 Depending on the clinical presentation, PPC can be divided into three categories: (1) PPC with imminent (eyes that are at a risk of) posterior capsule dehiscence (Figure 1), (2) PPC with pre-existing posterior capsule dehiscence (Figures 2a and b), (3) Spontaneous dislocation The Cataract and IOL Department at Aravind is equipped to treat all kinds of cataracts. Expert doctors, well trained support staff and state-of-the-art diagnostics ensure the best possible care to patients. Over 3 lakh cataract surgeries are performed annually at Aravind Eye Hospitals
Journal of Cataract & Refractive Surgery. 2017; 43(1): 8â€11. Uncoding Black Cataract Micro Phacoemulsification and Simplifying PPC (Posterior Polar Cataract) Management In the Annual Conference of IIRSI (Intraocular Implant & Refractive Society India) 29th & 30th Aug 2009, New Delhi. White Cataract: Problems & Solution 5. Allen D, Wood C. Minimizing risk to the capsule during surgery for posterior polar cataract. J Cataract Refract Surg. 2002;28:742-744. 6. Fine IH, Packer M, Hoffman RS. Management of posterior polar cataract. J Cataract Refract Surg. 2003;29:16-19. 7. Lee MW, Lee YC. Phacoemulsification of posterior polar cataracts- a surgical challenge. Br.
Posterior polar cataracts (PPC) are a challenge for every cataract surgeon because of their propensity for posterior capsule dehiscence and weakness. Although the initial reported incidence of posterior capsule rupture (PCR) was between 26% and 36% [1,2], subsequent improvements in understanding of techniques [2-17] and technology have led to a reduction in the rates of PCR to 6% to 7% [8,9] With a posterior polar cataract, the posterior capsule can be weak, fragile, or even focally absent and this poses challenges . More. Posterior Polar Cataract with Central Capsule Defect. We have highlighted multiple different posterior polar cataract cases, which warrant reviewing Posterior polar cataracts always present a challenge to the cataract surgeon due to their propensity to be associated with posterior capsular weakness and posterior capsular rupture (PCR). As techniques, technologies, and surgeons' understandings of this problem have evolved, PCR rates have dropped from as high as 26% to 36% in the 1990s to. Performed more than 10000 Complicated cataract surgeries like paediatric cataract,small pupil cataract,cataract with subluxation,cataract with corneal opacities,posterior polar cataract,hard mature cataract,brown cataract,black cataract etc. Dr.HETALBHAI has equal vast experience in LASIK surgery,PTERYGIUM surgery,GLAUCOMA surgery,SQUINT. Well yes, but if you are concerned you should be talking to your surgeon so they can explain the reasons for the cloudiness. I mean, you understand that it is impossible for anyone to give you the answer over the internet , or by phone (though.
Research Paper Presentations, Articles, Lectures, Courses as Faculty & Live Surgeries Latest Presentations Uncoding Black Cataract Micro Phacoemulsification and Simplifying PPC (Posterior Polar Cataract) Management In the Annual Conference of IIRSI (Intraocular Implant & Refractive Society India) 29th & 30th Aug 2009, New Delhi. Nominated for the Best video presentation finalist for. While the Phacoemulsification Cataract Surgery is the most common form of cataract surgery, there are also other types of surgeries for cataract. Based on what your doctor has recommended, the city you live in, the hospital you pick and how old you are, the cost of a cataract surgery in India will differ Effect Of Size And Thickness Of Posterior Polar Cataract On Surgical Outcome In Phacoemulsification.(WOC 2014 Tokyo Japan ) Presentations of papers as co author : 01. Therapeutic penetrating keratoplasty - a retrospective analysis in rural population of central India.(MPSOS 2011. 02
small, but even a small posterior polar cataract can im- pair vision. A distinctive type of posterior polar cataract is the posterior lentiglobus or lenticonus, in which a pro- trusion of the posterior capsule is present. Membranous cataracts form when the lens, cortex, and nucleus are par- tially or completely reabsorbed, leaving a small amoun Congenital posterior polar cataracts evolve slowly but cause symptoms necessitating surgery. I would test the patient's contralateral eye for glare and consider a bilateral refractive approach. Topography (ideally with iTrace [Tracey Technologies, Houston, TX]) shows latent regular astigmatism that is expected to manifest postoperatively but. A. Posterior polar cataracts remain a significant challenge for anterior segment surgeons. Although new imaging technologies such as high-definition OCT and UBM may help in preoperatively evaluate the adhesion characteristics between the posterior cortex and the capsule, they still provide a number of surgical surprises (false positive Dr. R. P. Centre, AIIMS, New Delhi. India. Design: Prospective interventional study. Methods: Methods: A total of 12 eyes of 12 patients with clinically confirmed posterior polar cataract, who underwent cataract surgery by a single surgeon under the direct guidance of iOCT
It includes visual acuity, intraocular pressure, dilated pupil fundus examination to rule out age-related macular degeneration, retinal pathology, type of cataract, density of cataract, to rule out posterior polar cataract, associated pseudoexfoliation , subluxation or any corneal pathology like fuch's atropy- is required A posterior polar cataract is a dense white opacity that is situated on the central posterior capsule. It consists of characteristic concentric rings around the central opacity (bull's eye). A posterior polar cataract presents a special challenge to the phaco surgeon because of its predisposition to posterior capsular dehiscence during surgery. This book focuses on Gems of Ophthalmology—Cataract Surgery. Cataract surgery is a procedure to remove the lens of your eye and, in most cases, replace it with an artificial lens. This book consists of 27 chapters. The present book covers a wide range of topics on cataract surgery such as Manual small-incision cataract surgery, dye-enhanced cataract surgery, Pediatric cataract Surgery and. Ongoing study, results will be updated. Surgery was performed by a single surgeon using a standardized technique. Mean age of patients was 39.5+2.3 years. In 15 eyes of 15 patients with posterior polar cataracts, the femtosecond laser could predictably create cylinders of desired width. None of the eyes had a posterior capsule rupture during.
A retrospective review of the results of pediatric cataract surgery with primary IOL implantation in children in India found that, posterior capsule opacification was seen in 18.75% of eyes with polymethyl methacrylate lenses, 14.58% of eyes with hydrophobic acrylic lenses, and 13.9% of eyes with silicone lenses Posterior capsular folds creating a Maddox rod effect following cataract surgery: 73-year-old female presents with glare in the right eye 5 months after cataract surgery. Posterior Polar Cataract. 38-year-old male with blurry distance vision and problems seeing at night and significant glare from oncoming headlights when driving at night Cataract surgery- If what you're interested in are the basics of cataract surgery, this is the website to read. It talks specifically about surgical options for cataract surgery, including laser surgery and traditional options. 4. The American Academy of Ophthalmology produces this site about cataract surgery and how it's done. It is a. Illustrative Guide to Cataract Surgery by Editor, Dr. Amar Agarwal and Associate Editor, Soosan Jacob is a unique book that includes matching step-by-step clinical photographs, medical illustrations, and videos to explain the most common techniques and steps in cataract surgery. With more than 650 illustrations, ophthalmologists and residents will visually learn the most essential procedures. most common ophthalmic disorder seen in all over world. in India 2015 incidence of cataract patient was 62.6 % (9 million). so the awareness and the management is very important for this disease condition. i hope this presentation is very helpful to all the student and people to understanding the cataract refractive ophthalmic diseas
Manual Small-Incision Cataract Surgery in Cases of Hard Posterior Polar Cataract Presenter: Ghosh, Manas Kolkata, West Bengal, India What lies beneath: Posterior capsular imaging in posterior polar cataracts. Indian J Ophthalmol. 2020 Oct;68(10):2221- 2222. Sachdev GS, Ramamurthy S, Dandapani R. Triamcinolone acetonide for remnant lenticule identification in small incision lenticule extraction The polar cataract can be adherent to the posterior capsule—and, in turn, the central capsular area can be weak. Not all cases will result in a capsular tear; therefore, it can take a surgeon by surprise if she is not prepared. The first question refers to the single most important change that a surgeon can make when operating on a posterior. Cataract surgery typically involves removing the cataract and clouded lens of the eye, and replacing it with an artificial lens, usually an intraocular lens (IOL). Nuclear, cortical, and posterior subcapsular cataracts can all be treated with cataract surgery, which typically takes about an hour or so. Again, cataract surgery replaces the.
A posterior polar cataract presents a special chal-lenge to the phaco surgeon because of its predisposition to posterior capsular dehiscence during surgery.1,2 Osher et al.1 reported a 26% (8/31 eyes) incidence of posterior cap-sular rupture during surgery in eyes with a posterior polar cataract. Previously, we also reported a Lecture: Pediatric Cataract Management in Complex Situations. During this live webinar, Dr. Kalaivani will cover paediatric cataract management in situations like cataract associated with persistent fetal vasculature, uveitis, posterior polar cataracts and trauma. Lecturer: Dr. Kavitha Kalaivani, Pediatric Ophthalmologist, Chennai, India Purpose: To study effect of age of intervention on visual outcome following treatment of pediatric patients with cataract. Setting: Tertiary eye care centre in Dahod at the trijunction of Gujarat, Madhya Pradesh, and Rajasthan states in centra Introduction: Posterior polar cataract is a rare form of cataract with incidence from 3 to 5 in 1000. It is bilateral in 65-80% of the cases with no gender predilection. Posterior polar cataract presents a special challenge to the surgeon because of its predisposition to posterior capsular dehiscence and possible nucleus drop during surgery. Purpose: The study aims to evaluate the visual.
In the study by Pavan Kumar et al., 1 the authors addressed an important issue for clinical practice and reported that anterior segment optical coherence tomography (AS-OCT) has high sensitivity (100%) and specificity (94.9%) for predicting posterior capsule rupture during phacoemulsification surgery in eyes with posterior polar cataract I was not allowed to eat 8 hours prior to my cataract surgery. But different doctors different rules, When I search dthe internet about fasting before cataract I found many different advice. In my home country the Netherland you could not eat 4 ho.. We at SuVi Eye Institute, Kota, India sub-luxated cataract, traumatic cataract with torn capsules, posterior polar cataract, hyper-mature cataract, small pupil, PXF, IFIS, pediatric and infantile cataract surgery, etc. Duration of the Phaco Course The Phaco course duration ranges from 1 week to 4 weeks. The duration can be tailor made. 9.12 - On Deadly Ground- Tackling Posterior Polar Cataracts - Top Pearls- Harshul Tuk, Jaipur. 9.19 - Cataract Surgery in Soft Posterior Polar Cataract -the Chip and Dissect Technique - Shikka Bassi, Chennai. 9.26 - Milloop for Hard Cataracts- Tips and Tricks to Improve Safety and Success - Sheetal Brar, Bengalur
Discussion. MIOCT has been used for various purposes in cataract surgery such as identification of a pre-existing PC defect, grading and classification of posterior polar cataract, evaluation of wound configuration and diagnosis and management of complications such as Descemet's membrane detachment. 12-17 MIOCT is an extremely useful tool since it is able to provide real-time visualization. (b) Posterior polar cataracts: They are located in the behind portion of the lens of the eye and are usually well defined. (c) Nuclear cataracts: Nuclear cataracts are located exactly in the centre of the eye and are the commonest form of congenital cataracts. They obstruct the vision to a great extent and so surgery may be required This lavishly-illustrated text presents all aspects of present day cataract surgery with photographic and diagrammatic illustrations. It deals with various aspects of SICS and phacoemulsification and provides a brief description about preoperative evaluation, operating room set-up, practical tips about the phacoemulisifier and the techniques of nucleus management in phacoemulsification Cataract surgery complications are few, and cataract surgery is among the most common and most successful surgical procedures performed today.. In the United States, about 4 million cataract surgery procedures are performed every year.. Cataract surgery is very safe. One study of more than 221,000 cataract surgery patients showed that 99.5% of the patients had no serious complications. Purpose: To determine incidence, risk factors for, and outcomes of dropped nucleus (DN) during cataract surgery.Methods: This is a matched case-control study at the Aravind Eye Hospital in Madurai, India.Out of 184 consecutive DN cases, 171 were included. The case immediately preceding the DN case by the same surgeon served as matched concurrent control
Pediatric cataract: challenges and future directions Anagha Medsinge,1,2 Ken K Nischal1,2 1Pediatric Ophthalmology, Strabismus, and Adult Motility, Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, (UPMC) 2University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Abstract: Cataract is a significant cause of visual disability in the pediatric population. Posterior polar cataracts (PPC) have always been a challenge for cataract surgeons due to their inherently higher propensity for posterior capsule rupture. Over the years, several technical modifications have been suggested to enhance safety and reduce posterior capsule rupture rates in these polar cataracts In cataract surgery, femtosecond laser platform has been used for making perfect circular anterior capsulotomy, well structured clear corneal incisions, nuclear fragmentation/ segmentation and softening, and creating limbal relaxing incisions for treatment of astigmatism. One of them is posterior polar cataract. All India Institute of.
glaucoma, uveitis, posterior polar cataract, history of any intraocular surgery or trauma. 2) Patients with intraoperative complications such as zonular dehiscence, failure to place IOL in the bag, vitreous loss and posterior capsular tear. 3) Patients with postoperative complications such as toxi Category: Cataract. Posterior polar cataract A posterior polar cataract, rare than itsanterior counterpart, appears similar clinically and histologically to the acquired posterior subcapsular cataract. The cataract usually is stationary. from Yanoff and Fine, Ocular Pathology, p. 357. There are few examples of this cataract in this Atlas The visual results of cataract surgery in children have generally. [10,13] been poorer than in adults. [1-3],[6,12,13] This difference but even a small posterior polar cataract can impair vision. A distinctive type of posterior polar cataract pital in western India over 20 years, from January, 1992 to April, 2012. All pediatric patients. Dr Pawan Prasher - Home | Facebook. Services. Cornea transplant, cataract, LASIK, Glaucoma, pterygium, Pentacam, Oculoplasty. Eye care with special focus on management of corneal diseases. Expertise in advanced corneal surgery techniques and phacoemulsification surgery. Research interests including eye infections, refinements of eye surgery. Biaxial Lens Extraction Combined With Scleral Frown Incision for Nonastigmatism Refractive Cataract Surgery Arturo Pérez-Arteaga, MD. Phacoemulsification in Posterior Polar Cataract: Experience From a Tertiary Care Center in North India Chintan Malhotra, MS;. Visual outcome differs significantly by cataract type. The best results are found in cases with lamellar cataract and posterior lentiglobus, probably because they are not dense at birth and the children are older at surgery (Parks et al. 1993). Uveitic eyes. Cataract surgery in paediatric uveitic eyes remains controversial