The Effect of Anterior Capsulotomy Size and Lens Epithelial cells Removal on the Posterior Capsular Opacification. |
Seung Jeong Lim, He Len Lew, Kwang Won Cho, Hong Bok Kim |
1Department of Ophthalmology, Medical College of Medicine, Yonsei University, Seoul, Korea. 2Institute of Vision Reseach, Medical College of Medicine, Yonsei University, Seoul, Korea. |
수정체 전낭 제거 크기와 수정체 상피세포제거가 수정체 후낭 혼탁 발생에 미치는 효과 |
임승정(Seung Jeong Lim),유혜린(He Len Lew),김홍복(Hong Bok Kim),조강원(Kwang Won Cho) |
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Abstract |
The most common complication of cataract surgery, posterior capsular opacification is known to arise from the lentivular epithelial proliferation. The simple mechanical elimination of the lenticular epithelial cells by irrigation and asiration is most widely used now. Recently, the defenite size of continous curvilinear capsulorhexis(C.C.C.) and the effect of partial mechanical removal of lens epi thelial cells is under the discussion. We used 15 Neuzealand white rabbits(30 eyes) to examine the appropriate capsulotomy size and the effect of simple irrigation and aspiration on the posterior capsular opacification for 3 months after operation. The results from by using the slit lamp and the ophthalmoscope examination showed that the posterior capsular opacificaiton grade score was lower in the small(3~4mm) capsulotomy with irrigation and aspiration group(1.7) than in the small capsulotomy(3~4mm) group without irrigation and aspiration group(2.3) or the large capsulotomy (6~7mm) group without irrigation and aspiration(2.4). The optical power meter and posterior eye evaluation technique also presented the same results of posterior capsular opacification grade as those of slit lamp and ophthalmoscope examination which was done on the eneuc1eated eyes at postoperative 3 months. |
Key Words:
Anterior capsulotomy;Posterior capsular opacity |
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