Ambreen Gull, Sairam Ahmed, Samana Ali, Ali Raza.
Phacomulsification in senile white mature cataracts;its safety and efficacy.
Pak J Ophthalmol Jan ;35(4):281-6.

Purpose To evaluate the intraoperative difficulty, complications and post operative outcome in patients with white mature cataracts undergoing phacomulsification and foldable intraocular lens implantation and to develop a strategy for achieving continuous curvilinear capsulorhexis in these cases. Study design Descriptive case series Place and duration Ophthalmology department of Holy family hospital, Rawalpindi in six months interval since January 2017 to June 2017 Material and Methods 50 Patients who had senile white mature cataract were enrolled in this prospective study .Detailed preoperative and intraoperative notes were made. A small capsulorhexis was attempted initially after staining capsule with trypan blue .An initial cut was made with cystotome and it was enlarged with utrata forceps. Endophacomulsification was done with stop and chop technique. Intraoperative difficulties related to continuous curvilinear capsulorhexis, phacomulsification and post operative visual outcomes were analyzed.post operative examinations were done at day 1,1st week,1st month and 3rd month.

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