American Journal of Ophthalmology
Volume 141, Issue 1 , Pages 71-78.e1 , January 2006

Outcomes in Patients Having Vitreous Presentation During Cataract Surgery Who Lack Capsular Support for a Nonsutured PC IOL

  • Joseph F. Collins, ScD

      Affiliations

    • VA Cooperative Studies Program Coordinating Center, Perry Point, Maryland
    • University of Maryland School of Medicine, Baltimore, Maryland
    • Corresponding Author InformationInquiries to Joseph F. Collins, ScD, Director, CSPCC (151E), P.O. Box 1010, VA Medical Center, Perry Point, MD 21902; fax: (410) 642-1860
    • ,
  • Ronald N. Gaster, MD (FACS)

      Affiliations

    • Department of Ophthalmology VA Medical Center Long Beach, Long Beach, California
    • University of California, Irvine, California
    • Dr Gaster has equity ownership/stock options of over $10,000 in Pharmacia.
    • ,
  • William F. Krol, PhD

      Affiliations

    • VA Cooperative Studies Program Coordinating Center, Perry Point, Maryland
    • University of Maryland School of Medicine, Baltimore, Maryland
    • ,
  • VA Cooperative Cataract Study Group

,Accepted 18 August 2005.

References 

  1. Owings MF , Kozak LJ  National Center for Health Statistics . Ambulatory and inpatient procedures in the United States, 1996 . National Center for Health Statistics . 1998; Vital Health Stat Series No. 131(139)
  2. Jaffe NS . Cataract surgery and its complications . St. Louis, MO: CV Mosby Co; 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, MO: American Optometric Association; 1995; (Revised 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;21:59–63
  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 . Tr Am Ophth 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  The Department of Veterans Affairs Cataract Study . A comparison of anterior 3 chamber and posterior chamber intraocular lenses after vitreous presentation during cataract surgery . Am J Ophthalmol . 2003;36:1–9
  19. Collins JF , Krol WF , Kirk GF , Gaster RN . The effect of vitreous presentation during extracapsular cataract surgery on the postoperative visual acuity at one year . Am J Ophthalmol . 2004;138:536–542
  20. The Eye Diseases Prevalence Research Group . Prevalence of cataract and pseudophakia/aphakia among adults in the United States . Arch Opthalmol . 2004;122:487–494
  21. Wagoner MD , Cox TA , Ariyasu RG , Jacobs DS , Karp CL . Intraocular lens implantation in the absence of capsular support (a report by the American Academy of Ophthalmology) . Ophthalmology . 2003;110:840–859

 Supported by the Cooperative Studies Program of the Department of Veterans Affairs Office of Research and Development.

PII: S0002-9394(05)00965-7

doi: 10.1016/j.ajo.2005.08.042

American Journal of Ophthalmology
Volume 141, Issue 1 , Pages 71-78.e1 , January 2006

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