What does extracapsular cataract extraction consist of?
Modern cataract surgery, also known as extracapsular cataract extraction (ECCE), involves removing a circular anterior portion of the lens capsule, breaking up and removing the fiber mass it contains, and placing a synthetic lens implant (intraocular lens: IOL) into the remaining capsular bag (Figure 31.1).
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How do you perform Ecce?
CONVERTING FROM SICS TO ECCE
- Inject OVD into the eye to push the nucleus away from the incision.
- Create a V incision.
- Make a fine cut all the way to the inside of the eye.
- Repeat steps No.
- Express the nucleus with a traditional technique of pressure and counter-pressure (Figure 12).
- Implant the IOL.
How long does extracapsular cataract surgery take?
ECCE Surgery: The extracapsular cataract extraction (ECCE) can take longer than phacoemulsification; ECCE usually takes 30 to 45 minutes to complete.
What is the difference between intracapsular and extracapsular cataract extraction?
Though rarely used nowadays, Intracapsular Cataract surgery requires an even larger incision as compared to Extracapsular surgery, through which the entire lens with surrounding capsule is removed. The IOL (intraocular lens) is placed in a different location, in front of the iris, in this surgical procedure.
What are the two types of cataract extraction?
According to the American Optometric Association, there are two types of cataract surgery: small incision cataract surgery and extracapsular surgery.
What is PC IOL?
Abstract. Background: Extracapsular cataract extraction (ECCE) with a posterior chamber intraocular lens (PC IOL) is the preferred method of cataract surgery in developed countries. However, intracapsular cataract extraction (ICCE) with an anterior chamber lens (AC IOL) may be appropriate in rural Africa.
What is ECCE surgery?
EXTRACAPSULAR CATARACT EXTRACTION The term ECCE refers to the technique in which a portion of anterior capsule of the lens is removed, allowing extraction of the lens nucleus and cortex, leaving the remainder of anterior capsule, the posterior capsule, and the zonular support intact.
When should Ecce sutures be removed?
Once the cornea is judged to have healed, it is best to remove the sutures. This is to prevent later suture problems (such as breakage and infection), and to allow the cornea to achieve its final post-operative shape.
Which eye is done first in cataract surgery?
To ensure optimal recovery and results, our Chicago eye care specialists usually wait to operate on the second eye. We want to give the first eye enough time to heal and for vision to stabilize before performing another surgery. It’s a simple, common-sense precaution to ensure good vision and eye health.
What is the difference between ECCE and ICCE?
ICCE = intracapsular cataract extraction; ECCE-D = extracapsular cat- aract extraction with surgical discission; ECCE-CI = extracapsular cataract extraction with posterior capsule preserved intact.
How phacoemulsification is superior to extracapsular cataract surgery?
Phacoemulsification gave superior results at both three and 12-month time points. Complications were higher in the ECCE group than the phacoemulsification group. However, two out of three studies that reported costs indicated that ECCE was cheaper than phacoemulsification.
Can you leave stitches in longer than 10 days?
Stitches and staples need to be removed within 4-14 days. The specific removal date depends on the location of the stitches or staples. Removal should not be delayed.
Is corneal suture removal painful?
The procedure itself is not painful, but the operating light may appear very bright, and you will be aware of fluid washing over the eye, and most likely spilling down your cheek. Small tugging sensations can be expected as the sutures come out.
What are the most common problems after cataract surgery?
Some immediate complications are a result of having the surgical procedure. These include discomfort, bruising and swelling of the eyelid, increased intraocular pressure, and allergic reaction to the steroid or antibiotic drop. These complications are monitored over time following surgery.
Why is ICCE contraindicated in children?
ICCE is contraindicated absolutely in children and young adults with cataracts and in patients with traumatic capsular rupture. Relative contraindications include high myopia, Marfan syndrome, morgagnian cataracts, and vitreous presenting in the anterior chamber. For more on the treatment of senile cataract, read here.