The effect of phacoemulsification with a primary posterior capsulorhexis

Abstract

Purpose: To study complications at carrying out posterior capsulorhexis during phacoemulsification, clinical and ultrastructural features of a posterior len’s capsule.

Methods: 82 patients (82 eyes) with an age cataract underwent phacoemulsification, IOL implantation and posterior capsulorhexis
in the Ufa Scientific Research Institute of Eye Diseases. The technique of operation was traditional. The research of a capsular bag by electron microscopy was carried out on 8 cadaver eyes of the person of different ages (range 24 to 83 years).

Results: The operational and postoperative complications, the received functional results in supervision terms till 3.5 years are described. Development of a secondary cataract and retina detachment was not registered. Laser interventions on a len’s bag was not required. High visual acuity was received. Researches of cadaver eyes of the person of different ages by electron microscopy revealed thinning and destruction of a len’s capsule at persons at senile age (after 75 years).

Conclusion: Stable visual functions in the remote period allows to recommend posterior capsulorhexis during phacoemulsification. The fibrosis of posterior len’s capsule should be a compulsory procedure of phacoemulsification.