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Minerva Oftalmologica 2002 September-December;44(3-4):155-60

Copyright © 2002 EDIZIONI MINERVA MEDICA

language: Italian

Pseudoexfoliation syndrome: PHACO versus ECCE

Morreale Bubella D., Morreale R., Leone S., Lodato G.


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Background. The purpose of this study is to compare results and complications of the operation for cataract using phacoemulsification + intraocular lens implant (PHACO + IOL) in the capsular sac compared to extracapsular extracfion + intraocular lens implant (ECCE + IOL) in the irido-capsular sulcus in subjects with pseudoexfoliation syndrome (PFS).
Methods. The results of 60 operations for senile cataract carried out in subjects with FES of which 30 with PHACO + IOL and 30 with ECCE + IOL are assessed. The patients were monitored 1 and 7 days after the operation and after 12 months.
Results. No differences in visual acuity were observed in the two groups. A smaller number of intra and postoperative complications were observed in the PHACO + IOL group compared to the ECCE + IOL group; inflammatory complications were particularly infrequent.
Conclusions. The PHACO+IOL operation seems to be preferable to ECCE + IOL not only because of the smaller number of early complications but also for the low incidence of secondary cataract.

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