TY - JOUR
T1 - Comparison of intracapsular and Extracapsular Cataract Surgery
T2 - Histopathologic Study of Eyes Obtained Postmortem
AU - McDonnell, Peter J.
AU - Patel, Arun
AU - Green, W. Richard
PY - 1985
Y1 - 1985
N2 - We examined 201 consecutive aphakic and pseudophakic eyes postmortem. Of these, 146 eyes had undergone intracapsular cataract extraction (ICCE) and 55 eyes had undergone extracapsular cataract extraction (ECCE), either with the posterior capsule preserved intact (ECCE-Cl, 30 eyes) or having had a surgical discission performed (ECCE-D, 25 eyes). Wound-related complications were most numerous in the ICCE group, and this probably reflects the relatively recent development of microsurgical techniques. Posterior vitreous detachment was present in 84% of eyes following ICCE, in 76% of eyes following ECCE-D, and in 40% of eyes following ECCE-Cl (P < 0.001). Peripheral retinal holes were found in 8.2% of ICCE eyes, 8.0% after ECCE-D, and 3.3% of eyes after ECCE-Cl. Five (3.4%) of ICCE eyes had associated retinal detachments, while no ECCE eyes had detachments. Macular edema, macular holes, and epiretinal membranes occurred in 2.1%, 1.4%, and 12.3% of ICCE eyes; 4.0%, 0.0%, and 8.0% of ECCE-D eyes; and 0.0%, 6.7%, and 6.7% of ECCE-Cl eyes, respectively.
AB - We examined 201 consecutive aphakic and pseudophakic eyes postmortem. Of these, 146 eyes had undergone intracapsular cataract extraction (ICCE) and 55 eyes had undergone extracapsular cataract extraction (ECCE), either with the posterior capsule preserved intact (ECCE-Cl, 30 eyes) or having had a surgical discission performed (ECCE-D, 25 eyes). Wound-related complications were most numerous in the ICCE group, and this probably reflects the relatively recent development of microsurgical techniques. Posterior vitreous detachment was present in 84% of eyes following ICCE, in 76% of eyes following ECCE-D, and in 40% of eyes following ECCE-Cl (P < 0.001). Peripheral retinal holes were found in 8.2% of ICCE eyes, 8.0% after ECCE-D, and 3.3% of eyes after ECCE-Cl. Five (3.4%) of ICCE eyes had associated retinal detachments, while no ECCE eyes had detachments. Macular edema, macular holes, and epiretinal membranes occurred in 2.1%, 1.4%, and 12.3% of ICCE eyes; 4.0%, 0.0%, and 8.0% of ECCE-D eyes; and 0.0%, 6.7%, and 6.7% of ECCE-Cl eyes, respectively.
KW - aphakia
KW - cystoid macular edema
KW - extracapsular cataract extraction
KW - intracapsular cataract extraction
KW - posterior vitreous detachment
KW - pseudophakia
KW - retinal breaks
KW - retinal detachment
UR - http://www.scopus.com/inward/record.url?scp=0021927551&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0021927551&partnerID=8YFLogxK
U2 - 10.1016/S0161-6420(85)33875-7
DO - 10.1016/S0161-6420(85)33875-7
M3 - Article
C2 - 4058884
AN - SCOPUS:0021927551
SN - 0161-6420
VL - 92
SP - 1208
EP - 1225
JO - Ophthalmology
JF - Ophthalmology
IS - 9
ER -