Đánh giá kết quả phẫu thuật phaco điều trị bệnh đục thể thủy tinh trên mắt có hội chứng giả bong bao tại Bệnh viện 19-8

Cataract surgery remains one of the most frequently performed ophthalmic procedures globally. However, managing cataracts in eyes affected by pseudocapsular detachment syndrome (PEX) presents unique challenges. PEX is a complex age-related disorder characterized by the accumulation of fibrillar extracellular material, leading to compromised zonular integrity, poor pupil dilation, and increased surgical risks. These inherent structural vulnerabilities significantly heighten the potential for intraoperative and postoperative complications during conventional phacoemulsification. Despite advancements in surgical techniques, comprehensive evaluation of phaco surgery outcomes in this specific patient cohort, particularly within the Vietnamese context, is crucial to refine surgical strategies and improve patient safety and visual prognosis. This study aims to address this gap by assessing the efficacy and safety of phacoemulsification for cataracts associated with pseudocapsular detachment.

Ophthalmologists, eye surgeons, and researchers specializing in cataract and glaucoma management.

This clinical intervention study evaluated the results of **Phaco surgery** for **cataract** in eyes with **pseudocapsular detachment syndrome** at Hospital 19-8. Thirty eyes from 30 patients underwent phacoemulsification with monofocal artificial lens implantation, followed by 1-week, 1-month, and 3-month post-operative assessment. The research aimed to identify surgical complications and refine treatment approaches. Key findings showed excellent visual outcomes, with 93.4% of eyes achieving visual acuity > 5/10 and an average visual acuity of 0.63. Additionally, a significant reduction in intraocular pressure by 2.0 mmHg was observed. The study detailed various complications, both intraoperative (e.g., anterior capsule tear, posterior capsule tear with vitreous escape, Descemet membrane detachment) and postoperative (e.g., keratitis, uveitis, anterior capsule fibrosis, posterior capsule opacification). The research also highlighted successful interventions for poorly dilated pupils, such as pupil dilation techniques or iris hooks. The authors conclude that phacoemulsification in eyes with pseudocapsular detachment is a technically challenging procedure demanding highly skilled surgeons. To ensure safe and effective outcomes, meticulous surgical planning is imperative to mitigate complications, emphasizing the need for advanced expertise in managing these complex cases.