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EVALUATION OF THE RESULTS OF PHACOEMUSIFICATION SURGERY COMBINED WITH IRIS HOOK IN CASES WITH SMALL PUPIL
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Abstract
Purpose: To evaluate the outcomes of cataract surgery using phacoemulsification combined with iris hooks in cases with small pupil. Material and Methods: The study was conducted on 46 eyes from 42 patients diagnosed cataract with small pupil, treated with phacoemulsification and intraocular lens implantation at the Ophthalmology Department of the Northwestern Nghe An General Hospital from March 2023 to April 2024. Results: The average age of the study group was 76.4 ± 8.7 years. There were 14 male patients, accounting for 30.4%, and 32 female patients, accounting for 69.6%. Intraoperative complications did not occur in 95.6% of eyes. On postoperative day 1, more than 50% of eyes had visual acuity ranging from 20/60 to 20/25; this proportion increased over time at postoperative 1week and 1 month. 3 month after operation, best-corrected visual acuity (BCVA) greater than 20/60 was observed in up to 91.3% of eyes. Anterior chamber inflammatory reaction was observed in 17.4% of eyes on postoperative day 1, and it completely resolved by the 1-month follow-up. Conclusion: Phacoemulsification combined with iris hook technique is effective in patients with poorly dilating pupils, demonstrating a high success rate, minimal postoperative complications, and good postoperative visual recovery.
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Keywords
Cataract surgery, small pupil, iris hook.
References
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