Title: Prospective study for the evaluation of etiology of posterior capsular opacification formation in patients after cataract surgery
Authors: Dr Prachi Hirkane, Dr Girish Chaturvedi, Dr Shweta Walia, Dr (Prof) V. Bhaisare
DOI: https://dx.doi.org/10.18535/jmscr/v6i11.133
Abstract
Background: Posterior capsular opacification (PCO) is the most common late complication of cataract surgery. Once PCO start covering pupillary area patient complain of blurry vision. This can be treated by using laser or surgical capsulotomy.
Aim: The aim of the study proposed is to evaluate the most likely cause of PCO formation and role of Neodymium: Yttrium Aluminum Garnet Laser capsulotomy in its management in patients presenting with PCO, operated at the Department of Ophthalmology MGMMC, Indore.
Methods: A prospective observation study was conducted on 600 patients (600 eyes) who underwent cataract surgery by small incision cataract surgery technique at MYH Indore. PCO formation at 6 month postoperatively and role of Neodymium: Yttrium Aluminum Garnet Laser capsulotomy in its management was evaluated.
Result: In our study we found that, most of the patients who developed PCO were either suffering from any systemic illness like Diabetes or have any ocular pathology, which correlates with other studies on PCO development. Clinically significant PCO was found in 226 patients (37.66%) and were treated with Nd YAG capsulotomy.
Conclusion: PCO develops early in patients with some systemic illness, if the IOL is fixed in sulcus, in ocular pathology like pseudoexfoliation syndrome. Its prevention includes accurate hydrodissection, removing of cortical mass, polishing of capsule and intracapsular fixation of lens, control of post-operative inflammation.
Keywords: Posterior Capsular Opacification, Cataract surgery, Nd-YAG capsulotomy.
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