Advantages of extracapsular cataract extraction (ECCE):
A. Less chance of vitreoushemorrhage and RDB. Decreased chances of CME (cystoid macular edema)
C. Can be used in traumatic lens dislocation
D. Minimal endothelial damage
E. Suture-less surgery
The Answer is. (A) Less chance of vitreous
hemorrhage and RD
(B) Decreased chances of CME (cystoid
macular edema)
(D) Minimal endothelial damage
Comparison between
extracapsular cataract extraction(ECCE) against intracapsular cataract
extraction
(ICCE):
(ICCE):
|
Features
|
ECCE
|
ICCE
|
|
1. Age
|
Can be performed at all ages
|
can’t be performed in younger age as
zonuls are strong
|
|
2. Posteror chamber IOL implantation
|
Yes
|
No
|
|
3.Marked subluxated and dislocated
lens
|
Absolute contraindication
|
Absolute indicatin
|
|
4 Eye camp,
lack of facilities and trained surgeon for
microsurgery
|
Not suitable
|
Advantageous
|
|
5 Simple cheap
easy less time consuming
|
Not observed in ECCE
|
Seen in ICCE
|
|
6.Post operative
Complications
|
|
|
|
Cystoids macular edema
|
âed incidence
|
More incidence
|
|
Retinal detachment
|
Less common
|
More common
|
|
Vitreous touch synd: papillary black,
herniation of AC
|
|
|
|
Endophthalmitis
|
Less common
|
More common
|
|
After cataract
|
Common
|
Not seen
|
|
Vitreous loss
|
Less common
|
More common
|
|
Endothelium damage
|
Less common as due to (PC IOL)
|
Common when antechamber IOL
|
