PDF (5 MB) - Jurnalul de Chirurgie

ARTICOLE ORIGINALE 161Jurnalul de Chirurgie (Iaşi), 2013, Vol. 9, Nr. 2COMPLICAŢIILE PRECOCE ALE CHIRURGIEICATARACTEIC. Constantin , I. Cijevschi, Silvia Sălceanu, C. DavidClinica de Oftalmologie, Spitalul Clinic Universitar „Căi Ferate” IașiEARLY COMPLICATIONS OF CATARACT SURGERY (Abstract): BACKGROUND: Thereare different complications of the cataract surgery described in the literature. The impact of thesecomplications on the visual function is in correlation with many factors, some of them beingimprecise and unable to be used as prognostic factors before and after the surgery. The moderntechnique and the surgeon’s experience lowers the complications incidence to a minimum, buteven so, some problems cannot be avoided. AIM: The aim of this study is to analyse the earlycataract surgery complications for patients operated in 2012 at the Ophthalmology Unit, RailwayHospital, Iaşi. MATERIAL AND METHOD: We conducted a retrospective analysis of themedical records of the patients who underwent cataract surgery in 2012. There were a total of 480cataract surgeries, the majority of them (92,7%) being age related cataracts in different stages ofevolution, of which 31.45% being mature cataracts. In 476 eyes, artificial lens was inserted perprimam(474 eyes with posterior chamber intraocular lens and 2 eyes with anterior chamberintraocular lens), in one case the posterior chamber intraocular lens was sutured to the sclera, in 3cases the eyes remained without lens. RESULTS: The incidence of severe complications or withpotential of severe development was: severe corneal oedema 0.83% (4 cases), remaining lensfragments in the vitreous cavity 0.62% (3 cases), toxic anterior segment syndrome (TASS) 0.41%(2 cases). There were no endophthalmitis, expulsive haemorhage or retinal detachment aftercataract surgery. CONCLUSIONS: The number of early complications of our patients is the samewith numbers shown in other studies. With a better surgical technique, a good examination of thepatient, a thorough explanation of the procedure to the patient, the use of high quality substancesduring surgery and proper technology we can lower even more the incidence of the complications.KEY WORDS: CATARACT; SURGERY; PHACOEMULSIFICATION; EXTRACAPSULARCATARACT EXTRACTIONSHORT TITLE: Complicaţiile chirurgiei cataracteiComplications of cataract surgeryHOW TO CITE:. [Early complications of cataract surgery]. Jurnalul dechirurgie (Iaşi). 2013; 9(2): 161-165. DOI: 10.7438/1584-9341-9-2-7.INTRODUCEREChirurgia modernă a cataracteipermite, pe de o parte, datorită progresuluitehnic, o recuperare rapidă a funcţiei vizualeîn post-operatorul imediat și pe de altă parteo reducere importantă a frecvenţeiincidentelor și complicaţiilor intra- și postoperatorii.Cu toate acestea, în cărţile despecialitate sunt menţionate suficient demulte complicaţii ale chirurgiei cataracteidintre care unele cu potenţial major deimpact negativ asupra rezultatului final.Lucrarea îşi propune să analizezeincidenţa complicaţiilor după chirurgiacataractei apărute la pacienţii operaţi înClinica Oftalmologică a Spitalului „CăiFerate” Iaşi în perioada 1.01.2012-31.12.2012, analizând factori de risc pre şipostoperatori cu impact asupracomplicaţiilor postoperatorii.MATERIAL ŞI METODĂAm analizat retrospectiv foile deobservaţie ale pacienţilor operaţi de cataractăReceived date: 15.01.2013Accepted date: 20.02.2013Adresa de corespondenţă: Dr. Cătălin ConstantinClinica de Oftalmologie, Spitalul Clinic Universitar „Căi Ferate” IaşiStr. Garabet Ibrăileanu, nr. 1, 700506, Iaşi, RomaniaTel.: 0040 (0) 232 21 64 22E-mail: catalin.p.constantin@gmail.com