Kapselruptur und Vitrektomie bei Phakoemulsifikation

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Zusammenfassung

Hintergrund

Im Rahmen der Phakoemulsifikation kann es als Komplikation zur hinteren Kapselruptur kommen.

Ziel der Arbeit

Ziel dieser Studie war es festzustellen, ob das Risiko des Auftretens einer Kapselruptur vonseiten des Operateurs, der Tages- und Jahreszeit, der zu operierenden Seite und der Anatomie des Auges zu beeinflussen ist oder nicht.

Material und Methoden

Das Patientenkollektiv stammte dabei aus den Phakoemulsifikationen unserer Klinik aus den Jahren 2004 bis 2014. Eingeschlossen wurden Operationen die von einem Operateur durchgeführt wurden und keine primär kombinierte Operation darstellten. Dabei wurde bestimmt, wie viele Kapselrupturen mit und ohne Vitrektomie auftraten.

Ergebnisse

Bezüglich der zu operierenden Seite, dem Wochentag und dem Monat zeigte sich dabei kein signifikanter Unterschied. Einzig im Operationsablauf zeigte sich ein signifikant häufigeres Auftreten der Kapselrupturen zum Zeitpunkt der Kapselpolitur.

Diskussion

Verglichen mit Ergebnissen aus anderen Studien lag das Komplikationsrisiko in dem von uns untersuchten Operationskollektiv unter dem anderer Studien.

Schlüsselwörter

Phakoemulsifikation Kapselruptur Vitrektomie Risiken Operateure 

Capsule rupture and vitrectomy during phacoemulsification

Abstract

Background

Rupture of the posterior capsule can occur as one of the complications during phacoemulsification.

Objective

The aim of this study was to determine whether the risk of capsule rupture depends on the surgeon’s concentration or experience, time of day and season, the side to be operated on and anatomy of the eye as well as the frequency with which it can be expected.

Material and methods

The patient collective was derived from patients who underwent cataract surgery by phacoemulsification between 2004 and 2014. All surgeries were performed by the same surgeon and constituted no primarily combined operations. Thereby, it was determined how many capsule ruptures occurred, with and without vitrectomy.

Results

There were so significant differences between the left or right eye, weekday or month. During the various surgical steps of cataract surgery, the occurrence of capsule rupture was only significantly more frequent at the time of capsule polishing.

Conclusion

Compared to the results of other studies, the risk of complications was lower in the operation collective investigated in this study.

Keywords

Phacoemulsification Capsule rupture Vitrectomy Risks Surgeons 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

S. Kohnen und S. Lotfipour geben an, dass kein Interessenkonflikt besteht.

Alle im vorliegenden Manuskript beschriebenen Untersuchungen am Menschen wurden mit Zustimmung der zuständigen Ethik-Kommission, im Einklang mit nationalem Recht sowie gemäß der Deklaration von Helsinki von 1975 (in der aktuellen, überarbeiteten Fassung) durchgeführt. Von allen beteiligten Patienten liegt eine Einverständniserklärung vor.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Augencentrum DreiländereckAachenDeutschland

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