Modified Technique For Posterior Polar Cataract

to assess the efficacy, stability and safety of using this technique in posterior polar cataract 

memorial institute for ophthalmic research

Prospective interventional case series study of (10) eyes of 10 patients (7 males and 3 female) aged between 20-52 years with uni or bilateral posterior polar cataract  .Surgical Technique : in This modified technique   hydrodelineation without hydrodissection and remove the soft nucleus .then i started to catch cortex by I/A to dissect cortex from capsule from periphery toward center but don't reach the posterior pole then by aspiration and using the reflux in foot switch from the cortex from aspiration then get the other part of cortex and do same technique in all cortex until i separate all cortex and only posterior pole remained and detached with the last piece of cortex . ( this technique showed in the videos of surgeries).

Inclusion Criteria : patients with uni or bilateral posterior polar cataract  , no other types of cat, no history of trauma .Excluison Criteria : presence of other types of cat , H/o of trauma

PreOperative :full ophthalmic examination spiecally BCVA and absence of other types of cataract .

post operative: follow up the stability of the iol in its place ,  refraction of the patient .

80% of surgeries ended with intact posterior capsule , only 20% of eyes need anterior vitrectomy and 3 piece IOL,  100% of eyes showed improvement in UCVA, BCVA, stable IOL in their places (no dropped iol ,no decentered iol, no dislocted iol). 

This modified technique help  to keep the posterior capsule intact and even if capsule opened it will be opened after i remove mostly all cortex and i will get circular hole in capsule like a posterior capsulotomy.so, i can implant in bag