DOI: 10.36347/sjams.2015.v03i02.036

Pages: 701-704

The purpose of the study was to evaluate the results and complications of phacoemulsification surgery in eyes with white mature cataract. Sixty-three eyes of 63 patients with white mature cataract who had undergone phacoemulsification and intraocular lens (IOL) implantation surgery were evaluated retrospectively. The mean age of the patients was 72.88±9.51 standard deviation (SD) (range 56-90). 29 of them (46%) were male and 34 of them (54%) were female. The mean preoperative best corrected visual acuity (BCVA) of the patients was 0.017±0.017 (SD) ( light perception -0.05) decimal, Snellen. The mean postoperative BCVA of the patients was 0.71±0.23 (SD) (0.2-1.00) decimal, Snellen (p<0.001). The mean preoperative intraocular pressure (IOP) of the patients was 17.38±4.04(SD) (11- 29) mmHg and the mean postoperative IOP was 15.77±2.70 (SD) (10-20) mmHg (p<0.001). The mean phaco time was 2.58±1.11 (SD) (0.90-4.60) min. Intraoperatively, Trypan blue dye was used in all patients, posterior capsule rupture occured in 4 (6%) patients, vitreous loss occured in one patient (1.5%)..Conversion to extracapsular cataract extraction (ECCE) was performed in 3 (4%) patients. Postoperatively 17 (26%) patients had transient corneal adema, 4 (6%) patients had persistent corneal edema that resolved within 6 weeks with intense topical steroid and hyperosmotic agents. White mature cataract is a challenge for the cataract surgeon; however, by using additional dyes and appropriate techniques, the rate of complications may be reduced.