Laser photophacofragmentation.
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Biomedical subjects
Publications and source records attributed to W S Chambless.
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A series of approximately 1,000 cases of nucleus pretreatment prior to phacoemulsification is presented. Current results indicate that the technique eases phacoemulsification, especially of hard nuclei, and has little risk when done properly.
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The results of 3,047 extracapsular cataract extractions are analyzed. They indicate that anterior segment complications are greater with certain types of intraocular lenses, and the incidence of retinal detachment and cystoid macular edema is lower when the posterior capsule is intact for one year postoperatively.
I have reviewed 210 cases of Nd:YAG laser posterior capsulotomy. The results indicate that although the procedure is extremely safe, complications can occur, at least one of which is severe.
Neodymium:YAG laser anterior capsulotomy performed in nine cases had a high incidence of complications. In 220 cases of Nd:YAG laser nucleus pretreatment, without opening the anterior capsule, the time required for emulsification of the nucleus was less than with standard techniques.
An on-going study of results and complications in a series of 1055 cataract extractions, done by Kelman phacoemulsification with up to five and one-half years' follow-up, showed that the incidence of cystoid macular edema (CME) is significantly less when the posterior capsule is left intact. This applied to capsulotomy at the time of surgery or elective discission later, with or without vitreous disturbance. CME was suspected clinically and confirmed or denied, in most cases, by fluorescein angiography.