Articles Vol. 66 No. CĐ11-NCKH 22/08/2025

37. EVALUATION OF THE RESULTS OF PHACO SURGERY TO TREAT CATARACTS IN EYES WITH PSEUDOCAPSULAR DETACHMENT SYNDROME AT HOSPITAL 19-8

Ly Minh Duc1,2, Tran Minh Dat3,4, Nguyen Minh Phu3,4, Bui Dao Quan3,4, Pham Ngoc Quy5,6
1 Hospital 19-8, Ministry of Public Security
2 Bệnh viện 19-8, Bộ Công an
3 Vietnam National Eye Hospital
4 Bệnh viện Mắt Trung ương
5 Anh Sang Eye Hospital
6 Bệnh viện Mắt Ánh sáng
Corresponding author: Drminhduc198@gmail.com
DOI: 10.52163/yhc.v66iCD11.2833
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Keywords
Cataract pseudocapsular detachment Phaco surgery.
Abstract

Objective: Evaluate the results of Phaco surgery on eyes with pseudocapsular detachment syndrome; study complications and treatment during and after surgery.

Subjects and methods: Clinical intervention study, 30 eyes of 30 patients with cataract in eyes with pseudocapsular detachment syndrome underwent Phaco surgery to place monofocal artificial lenses, followed up 1 week, 1 month, 3 months after surgery.

Results: 93.4% of eyes had visual acuity > 5/10. Average visual acuity was 0.63. Intraocular pressure was reduced by 2.0 mmHg. Complications of anterior capsule tear 3.3%, posterior capsule tear, vitreous escape 6.7%, Descemet membrane detachment 3.3%. Complications of keratitis 16.7%, uveitis 6.7%, anterior capsule fibrosis 3.3%, posterior capsule opacification 6.7%. Intervention of small poorly dilated pupils by pupil dilation technique or using iris hooks gave good results.

Conclusion: Phaco surgery on pseudocapsular detachment eyes is a difficult technique, requiring highly skilled surgeons. To ensure safe and effective surgery on pseudocapsular detachment eyes, surgeons need to carefully plan the surgery to limit complications.

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