Endoillumination Assisted Phacoemulsification in Patients with Hazy Cornea

Endoillumination Assisted Phacoemulsification in Patients with Hazy Cornea

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Background: Worldwide, cataract is the main cause of blindness.It accounts for 55% of 41 million blind.Visual restoring is made by cataract surgery.The aim of the work: This study designed to evaluate the use of endoillumination system in phacoemulsification in Cutlery:Kitchen patients with hazy cornea and to assess its efficacy, complications, and the best way of using it.Patients and Methods: A prospective study included 40 eyes with cataract and hazy cornea were scheduled for cataract surgery, at Al-Azhar University Hospital [Damietta].

A comparison was made during each step of phacoemulsification with and without endoillumination.The post-operative assessment was performed on the first day, at the end of the first week, the first month, and the third month after phacoemulsification by best corrected visual acuity [BCVA], slit-lamp bio-microscopy and intraocular pressure measurement.Results: The mean age was 68.1 years; 28 patients were females and 26 had operation in the right eye.Capsulorhexis with illumination showed good results among 8 patients, 8 showed no change, and only two patients were worsened.

However, without illumination, 16 patients had good results and 6 showed no improvement without any significant difference.In hydrodissection with illumination, 6 had good results and 4 showed no change.But, without illumination, 16 had good results, and 8 showed no COLORING COMB improvement.The nucleus fragmentation with illumination revealed excellent results in 24 patients.However, without illumination, two patients had good results, 8 cases showed no improvement, and only two patients were worsened with a significant difference.

Conclusion: Intracameral endoillumination improves the visual quality particularly the step of the nucleus fragmentation during cataract surgery.