When Should We Convert from Phacoemulsification to ECCE in Cataract Surgery When the Complication Occur?
Erbil SEVEN1, Muhammed BATUR1, Serek TEKİN2, Tekin YAŞAR3, Habip DEMİR4, Mehmet Siraç DEMİR4
1M.D. Assistant Professor Van YYU Medicine. Faculty of Ophthalmology,Van/TURKEY 2M.D. Van Regional Training and Research Hospital, Ophthalmology Department,Van/TURKEY 3M.D. Professor, Van YYU Medicine. Faculty of Ophthalmology, Van/TURKEY 4M.D. Assistant Van YYU Medicine. Faculty of Ophthalmology, Van/TURKEY
Purpose: In this study, we aimed to examine complications of eyes that experienced conversions from phacoemulcification to extracapsular
cataract extraction (ECCE) after cataract surgery.
Materials and Method: For the purposes of this study, two groups of people were examined. The first group included 95 people whose eyes
had been converted from phacoemulcification to ECCE and the second group included 99 people whose eyes experienced smooth phacoemulsification
after they underwent surgery due to senile cataracts in our clinic. Both groups of patients were compared in terms of preoperative
and postoperative visual acuity, ocular examination findings and complications.
Results: The average age was 74.15±10.6 years in first group, 67.86±10.93 years in the second group. Causes of the conversion from phacoemulsification
to ECCE were zonular dialysis in 32 of the eyes, posterior capsular rupture in 21 of the eyes, peripheral extension of the capsulorhexis
in 20 of the eyes, trouble with phacoemulsification devices in 5 eyes, pupillary miosis in 5 eyes and very hard nucleus in 12 eyes. The
increase in visual acuity after surgery in both groups was statistically significant (p=0.001).
Conclusion: The results of these evolving techniques show that phacoemulsification cataract surgery is the preferred method because it shows
better visual results and lower rates of complication. However, if complications occur during phacoemulsification surgery, good visual outcomes
can be attained after the conversion from phacoemulsification to ECCE on time.