American Journal of Ophthalmology
Volume 138, Issue 4 , Pages 536-542 , October 2004

The effect of vitreous presentation during extracapsular cataract surgery on the postoperative visual acuity at one year

  • Joseph F. Collins, ScD

      Affiliations

    • Corresponding Author InformationInquiries to Joseph F.Collins, ScD, Director, CSPCC (151E), PO Box 1010, VA Medical Center, Perry Point, MD 21902; fax: (410) 642-1860
    • ,
  • William F. Krol, PhD
    • ,
  • Gail F. Kirk, MS
    • ,
  • Ronald N. Gaster, MD
    • ,
  • VA Cooperative Cataract Study Group

      Affiliations

    • A complete listing of investigators and study participants appears in the Appendix.

,Accepted 21 April 2004.

References 

  1. Owings MF, Kozak LJ. Ambulatory and inpatient procedures in the United States, 1996. Vital Health Stat Series No. 13(139). National Center for Health Statistics, 1998.
  2. Jaffe NS . Cataract surgery and its complications . St Louis: CV Mosby; 1984;
  3. Murrill CA , Stanfeld DL , VanBrocklin MD . Optometric clinical practice guideline: care of the adult patient with cataract. Reference guide for clinicians . St Louis: American Optometric Association; 1995; (rev 1999).
  4. Frost NA , Sparrow JM , Strong NP , Rosenthal AR . Vitreous loss in planned extracapsular extraction does lead to a poorer visual outcome . Eye . 1995;9:446–451
  5. Drolsum L , Haaskjold E . Causes of decreased visual acuity after cataract extraction . J Cataract Refract Surg . 1995;21(1):59–63
  6. Bobrow JC . Visual outcomes after anterior vitrectomy (comparison of ECCE and phacoemulsification) . Trans Am Ophthalmol Soc . 1999;97:281–291
  7. Shah DP , Krishnan AA , Albanis DV , Dwyer MA , Ernest JT . Visual acuity outcomes following vitreous loss in glaucoma and diabetic patients . Eye . 2002;16:271–274
  8. Martin KR , Burton RL . The phacoemulsification learning curve (peri-operative complications in the first 3000 cases of an experienced surgeon) . Eye . 2000;14:190–195
  9. Jacobi PC , Dietlein TS , Jacob FK . A comparative study of topical vs retrobulbar anesthesia in complicated cataract surgery . Arch Ophthalmol . 2000;118:1037–1043
  10. Tarbet KJ , Mamalis N , Theurer J , Jones BD , Olson RJ . Complications and results of phacoemulsification performed by residents . J Cataract Refract Surg . 1995;21:661–665
  11. Badoza DA , Jure T , Zunino LA , Argento CJ . State-of-the-art phacoemulsification performed by residents in Buenos Aires, Argentina . J Cataract Refract Surg . 1999;25:1651–1655
  12. Albanis CV , Dwyer MA , Ernest JT . Outcomes of extracapsular extraction and phacoemulsification performed in a university training program . Ophthalmic Surg Lasers . 1998;29:643–648
  13. Chitkara KD , Smerdon DL . Risk factors, complications, and results in extracapsular cataract extraction . J Cataract Refract Surg . 1997;23:570–574
  14. Bloomquist PH , Rugwani RM . Visual outcomes after vitreous loss during surgery performed by residents . J Cataract Refract Surg . 2002;28:847–852
  15. Berler DK . Intraoperative complications during cataract surgery in the very old . Trans Am Ophthalmol Soc . 2000;98:127–132
  16. Zimmer DV , Harrison JC , Carriere VM . Cataract extraction with lens implantation at Biloxi Veterans Medical Center (experience of ophthalmology residents) . Ann Ophthalmol . 1994;26:47–49
  17. Tan JH , Karawatowski WS . Phacoemulsification cataract surgery and unplanned anterior vitrectomy—is it bad news? . Eye . 2002;16:117–120
  18. Collins JF , Gaster RN , Krol WF , Colling CL , Kirk GF , Smith TJ . A comparison of anterior chamber and posterior chamber intraocular lenses after vitreous presentation during cataract surgery. The Department of Veterans Affairs Cataract Study . Am J Ophthalmol . 2003;136:1–9
  19. Mittelviefhaus H , Witschel H . Transscleral suture fixation of posterior-chamber lenses after cataract extraction associated with vitreous presentation . Ger J Ophthalmol . 1995;4:80–85
  20. Yap EY , Heng HJ . Visual outcome and complications after posterior capsule rupture during phacoemulsification surgery . Int Ophthalmol . 1999;23:57–60
  21. Totan Y , Bayramlar H , Cekic O , Aydin E , Erten A , Daglioglu MC . Bilateral cataract surgery in adult and pediatric patients in a single session . J Cataract Refract Surg . 2000;26:1008–1011
  22. Prajna NV , Chandrakanth KS , Kim R , et al.  The Madurai Intraocular Lens Study. II (Clinical outcomes) . Am J Ophthalmol . 1998;125:14–25
  23. Yang YC , Kirwan JF , Foster PJ , Pereira AM . Cataract surgery by junior ophthalmologists . Eye . 1995;9:22–25
  24. Smith JH , Seiff SR . Outcomes of cataract surgery by residents at a public county hospital . Am J Ophthalmol . 1997;123:448–454
  25. Flach AJ . The incidence, pathogenesis, and treatment of cystoid macular edema following cataract surgery . Trans Am Ophthalmol Soc . 1998;97:557–634
  26. Banker AS , Freeman WR . Retinal detachment . Ophthalmol Clin North Am . 2001;14:695–704
  27. Desai P , Minassian DC , Reidy A . National cataract surgery survey 1997–8 (a report of the results of the clinical outcomes) . Br J Ophthalmol . 1999;83:1336–1340
  28. Ah-Fat FG , Sharma MK , Majid MA , Yang YC . Vitreous loss during conversion from conventional extracapsular cataract extraction to phacoemulsification . J Cataract Refract Surg . 1998;24:801–805
  29. Powell SK , Olson RJ . Incidence of retinal detachment after cataract surgery and neodymium:YAG laser capsulotomy . J Cataract Refract Surg . 1995;21:132–135
  30. Pokroy R , Pollack A , Bukelman A . Retinal detachment in eyes with vitreous loss and an anterior chamber or a posterior chamber intraocular lens (comparison of the incidence) . J Cataract Refract Surg . 2002;28:1997–2000
  31. Ninn-Pedersen K , Bauer B . Cataract patients in a defined Swedish population, 1986 to 1990. V. Postoperative retinal detachments . Arch Ophthalmol . 1996;114:382–386
  32. Javitt JC , Street DA , Tielsch JM , et al.  National outcomes of cataract extraction. Retinal detachment and endophthalmitis after outpatient cataract surgery . Ophthalmology . 1994;101:100–105
  33. Olsen G , Olson RJ . Update on a long-term, prospective study of capsulotomy and retinal detachment rates after cataract surgery . J Cataract Refract Surg . 2000;26:1017–1021
  34. Emery J . Capsular opacification after cataract surgery . Curr Opin Ophthalmol . 1999;10:73–80
  35. Spalton DJ . Posterior capsular opacification after cataract surgery . Eye . 1999;13:489–492

 Supported by the Cooperative Studies Program of the Department of Veterans Affairs.

PII: S0002-9394(04)00464-7

doi: 10.1016/j.ajo.2004.04.050

American Journal of Ophthalmology
Volume 138, Issue 4 , Pages 536-542 , October 2004

Article Tools