İntraoperative Complications of Phacoemulsification Surgery in the Learning Process

Year 2019, Volume: 11 Issue: 2, 41 - 50, 30.12.2019

Sedat Ava Seyfettin Erdem Mine Karahan Uğur Keklikçi Nurettin Karakaş

Abstract

Background: The aim of this study was to evaluate the results of intraoperative complications that happen in
the learning process of phacoemulsification surgery.
Method: 110 eyes of 105 patients who underwent cataract surgery by phacoemulsification technique in the X
clinic between the dates of February 98 and September 99 were included in the study. Age and gender
information of the patients were recorded, complete ophthalmologic examinations including best corrected
visual acuity (BCVA), intraocular pressure measurement and anterior and posterior segment examinations
were performed in both preoperative and postoperative periods. Intraoperative findings were recorded. The
average follow-up period was 1 month.
Results: Fifty-nine (56.1%) of the cases were male and 46 (43.9%) of the cases were female. The minimum
age of a participant on the case was = 14 determined. Complications during phacoemulsification surgery were detected as posterior capsule rupture in
36 cases, tear in the capsulorhexis in 20 cases, iris defect or iridodialysis during nucleus emulsification in 20
cases, completion of surgery as classic ECCE in 2 cases, zonulysis (zonular dialysis) in 2 cases, zonulysis
(zonular dialysis) in 2 cases, posterior capsule rupture and dropped nucleus in 2 (1.8%) cases.
Conclusion: In our study, we determined that many important intraoperative complications can be seen during
the learning process of phacoemulsification surgery. Therefore, the complication rate can be reduced by
increasing experience in phacoemulsification surgery and performing better case selection

Keywords

Cataract, phacoemulsification, intraoperative complications

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