Clinical Observation on Cataract Sugery.

Lee, Woo Seung; Chung, Young Tae

Original Article

Journal of the Korean Ophthalmological Society 1975;16(4):381-388.
Published online April 1, 1975.

Clinical Observation on Cataract Sugery.

Woo Seung Lee, Young Tae Chung

Department of Ophthalmology, Presbyterian Medical Center, Jeonju, Korea.

백내장수술에 대한 임상적 고찰

이우승 , 정영태 ( Woo Seung Lee , Young Tae Chung )

Abstract

Cataract operation, which is an intraocular surgery attempted for recovery of vision by the extraction of opaque lens. has witnessed various developments in its instruments, techniques and using en~yme, although numerous major and minor complications still remain troublesome in the minds of ophthalmologists. This study is result of the cataract extraction performed in Jeonju Presbyterian Medical Center for 171 Gases, among which 131 have received intracapsular lens extraction by method of cryosurgery between Jan. -1973 and Jun. -1975. The 16 of the 171 cases have developed vitreous comiplcations. A follow-up study has also heen done for the 8 cases of them that received anterior vitrectomy and vitreous aspiration. The results of the study are summaried as follows: 1) The types of cataracts were: senile 66.1%, traumatic 12.9%, congenital 8.2%, complicated 7.5%, others 5.3%. 2) The incidence of operative complications were: vitreous prolapse and loss 9.4%, capsule rupture 7.0%. 3) Early postoperative complications were: striate keratitis 31.6%, hyphema 7.0%, up-drawn pupil 6.4%, vitreous bulging 4.7%, flat A/C 3.5%, conjunctival bleb 1.2%. 4) Late postoperative complications were: delayed wound healing 2.3%, macular edema 1.2%, glaucoma 1.2%, retinal detachment 0.6%, uveitis c recurrent hyphema 0.6%. 5) The results of managed by the method of anterior vitrectomy and vitreous aspiration for 8 cases were following: macular edema (1), localized corneal edema (1), and glaucoma with corneal edema(1). Visual results were 20/70 or better in 5 of the 8 cases.