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Anterior segment optical coherence tomography for demonstrating posterior capsular rent in posterior polar cataract

Authors Kymionis G, Diakonis V, Liakopoulos D, Tsoulnaras K, Klados N, Pallikaris I

Received 11 October 2013

Accepted for publication 7 November 2013

Published 10 January 2014 Volume 2014:8 Pages 215—217

DOI https://doi.org/10.2147/OPTH.S55763

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4


George D Kymionis,1,2 Vasilios F Diakonis,1 Dimitrios A Liakopoulos,1 Konstantinos I Tsoulnaras,1 Nektarios E Klados,1 Ioannis G Pallikaris1

1Institute of Vision and Optics, Department of Medicine, University of Crete, Heraklion, Crete, Greece; 2Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Florida, USA

Aims/purpose: To report the preoperative use of anterior segment optical coherence tomography (AS-OCT) for the determination of pre-existing posterior capsule defect in patients with posterior polar cataract.
Methods: Three patients presented with posterior polar cataract and were evaluated preoperatively using AS-OCT, revealing in one patient intact posterior capsule and in the other two a pre-existing posterior capsule defect not detectable by slit-lamp evaluation. All patients underwent phacoemulsification and intraocular lens implantation.
Results: Intraoperatively, AS-OCT findings were confirmed after cataract surgery in all patients. No intra- or late postoperative complications were noted.
Conclusion: AS-OCT could be an additional useful imaging modality in these patients, essential for surgical planning and patient consultation.

Keywords: posterior capsular cataract, phacoemulsification, cataract complications, posterior capsular rupture, anterior segment optical coherence tomography

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