Conclusion. The surgical removal of a hypermature cataract can significantly improve the patient’s visual outcome, but creating a continuous curvilinear capsulorhexis in order to perform a phacoemulsification is more challenging. These eyes, if left untreated, could develop phacolytic glaucoma.
How do you treat Hypermature cataracts?
The loss of corneal endothelial cells 3 months after surgery was 8.8±1.9%. Conclusion: The use of the proposed combined technique of capsulorhexis made it possible to perform the most physiologically appropriate intracapsular IOL implantation in all patients with hypermature cataract, small pupil and lens subluxation.
Is a dense cataract harder to remove?
Hard, dense nuclei are difficult to remove with phacoemulsification or SICS. You may prefer to do a routine extracapsular extraction. Hypermature cataracts have a small nucleus and a wrinkled capsule.
What are the complications of Hypermature cataract?
Complications of hypermature cataract: spontaneous absorption of lens material and phacolytic glaucoma-associated retinal perivasculitis.
Can a dense cataract be removed?
Surgically, the goal for a dense cataract is to remove the lens while minimizing endothelial damage, avoiding wound burn and intraoperative complications, and minimizing postoperative inflammation, Al-Mohtaseb said. Often, patients with these types of cataracts have small pupils.
What does Hypermature cataract mean?
[ hī′pər-mə-chur′, -tur′ ] n. A cataract in which the lens becomes either dehydrated and flattened or liquid and soft, with the nucleus at the bottom of the capsule.
What causes Hypermature cataract?
Morgagnian cataract is a form of hypermature cataract formed by liquefaction of the cortex and sinking of the dense nucleus to the bottom of the capsular bag. The name “Morgagnian” derives from Giovanni Battista Morgagni, the 18th century anatomical pathologist.