| Cataract Extraction in Vitrectomized Proliferative Diabetic Retinopathy. |
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Sung Il Yeo, Tac Yon Kim, Jong Woo Kim |
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Department of Ophthalmology, Kon-Yang Hospital. |
| 유리체 절제술을 시행한 증식당뇨망막증 환자에서의 백내장 수술에 대한 고찰 |
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여성일(Sung Il Yeo),김태연(Tac Yon Kim),김종우(Jong Woo Kim) |
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| Abstract |
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The cataract extraction in vitrectomized proliferative diabetic retinopathy(PDR) may be different from the ordinary non-vitrectomized patients in several points. We tried to know what`s the problems during the operation, how`s the visual outcomes and the postoperative complications in these eyes. In 18 previously vitrectomized PDR patients(25 eyes), we performed the extracapsular cataract extraction(ECCE) in 7 eyes and the phacoemulsification in 18 eyes. The intraoperative problems were insufficient dilation of pupil, unstability of (anterior and posterior) chamber depth, and difficulty in removal of cortex, which is firmly adherent to the posterior lens capsule. Opacity of posterior lens capsule, elevation of intraocular pressure, exudative pupillary membrane, posterior synechia and corneal edema were the major postoperative complications. In 22 eyes(88%), the visual acuity was increased more than 2 lines, Cataract extraction was easier and less postoperative complications these cases. |
| Key Words:
ECCE;PDR;Phacoemulsification |
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