Paying close attention to the impact of cataract phacoemulsification surgery on ocular tissue

Author: Guan Huaijin

DOI: 10.3760/cma.j.cn115989-20200424-00283
Published 2021-04-10
Cite asChin J Exp Ophthalmol, 2021, 39(4): 273-279.

Abstract                                                   【Read Full Text】 【Download PDF

Although phacoemulsification is quite minimally invasive, effective and safe, it can still injure the structure of eyes and cause and/or aggravate posterior vitreous detachment, retinal detachment, macular edema, diabetic vitreoretinopathy, age-related macular degeneration and high myopic retinopathy due to the turbulence of operation and instrument to intraocular tissue, which disturbs the stability of anterior chamber and vitreous body, damages blood-ocular barrier and results in the release of inflammatory cytokines.Ophthalmologists should have a thorough understanding of relevant knowledge to emphasize the operating risk evaluation and management in perioperative period in order to control the energy and operation time of phacoemulsification as much as possible, especially for the patients with serious fundus diseases and systemic diseases.Ophthalmologist should avoid the operating disturbance of intraocular tissue to the utmost extent by reducing the phacoemulsification energy and duration.It is very important for us to realize the management of whole process of cataract surgery “from anterior segment to posterior segment” and “from eye to whole body” so as to further improve the postoperative visual quality and satisfaction of patients.

Key words:

Cataract/surgery; Phacoemulsification/complication; Vitreous body; Retina; Inflammatory cytokine; Visual quality

Contributor Information

Guan Huaijin
Eye Institute, Affiliated Hospital of Nantong University, Nantong 226001, China
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Updated: April 14, 2021 — 9:59 am