DR. VIDYASHREE V A

DR.S. MAHESH, DR. PRADEEP SAGAR

Abstract

PURPOSE:To study the incidence,risk factors for posterior capsular rent(PCR),zonular dialysis(ZD) in SICS in tertiary care centre.

METHOD:Retrospective study of patients with PCR,ZD from medical records,data compiled

RESULT:Total26029SICS performed,419(1.61%)had PCR(212cases) ZD(200cases),Preoperative risk factors -pseudoexfoliation7.90%,phacodonesis2.79%,shallow AC0.93%,high axial length>24mm13.95%,mature cataract 38.13%,traumatic cataract0.93%,PPC5.11%in isolation,combined in30.23%.200cases of ZD39%during cortical wash,26.5%nucleus prolapse,9%IOL dialing,pre-existing ZD19.5%,whole bag removal in 6%.212 cases PCR,during cortical wash44.81%,7.07%nucleus prolapse,28.30%nucleus delivery,11.79% hydrodissection,4.71%IOL dialing.ZD management-36.5%aphakic,34%CTR+PCIOL, 18.5%IOL in bag,11%primary iris claw.PCR management47.64%aphakic,43.39%IOL in sulcus,6.13%IOL in bag,2.83%primary iris claw

CONCLUSION:common predisposing factors-pseudoexfoliation,traumatic,mature cataracts