Enzymatic Zonulolysis in Lens Extraction

1961 ◽  
Vol 66 (1) ◽  
pp. 6-11 ◽  
Author(s):  
J. BARRAQUER
Keyword(s):  
2020 ◽  
Vol 11 (3) ◽  
pp. 595-599
Author(s):  
Saeed T. Alshahrani ◽  
J. Fernando Arevalo

A patient presented with complaints of a sudden decrease in vision, ocular redness, and pain in the right eye. The patient had a history of clear lens extraction with intraocular lens (IOL) implantation for myopia 2 years previously. He had been prescribed topical steroids for episodes of inflammation that occurred repeatedly every 1–2 months. With a presumptive diagnosis of chronic endophthalmitis, a 23-G transconjunctival sutureless pars plana vitrectomy (PPV) with delivery of intravitreal antibiotics was performed the next day. Culture sensitivity testing of the vitreous sample indicated <i>Pseudomonas stutzeri</i> that was sensitive to ceftazidime and gentamicin. Two weeks later, the patient presented with sudden loss of vision and all the signs of recurrent endophthalmitis. 23-G transconjunctival sutureless PPV was performed along with removal of the posterior chamber IOL through a corneal incision. Complete resolution was only achieved after removal of the IOL, resulting in excellent visual recovery. Due to its chronic and fulminating nature, <i>P. stutzeri</i> can induce endophthalmitis and should be considered in the differential diagnosis. Aseptic measures are the best prevention.


1990 ◽  
Vol 16 (6) ◽  
pp. 746-750 ◽  
Author(s):  
Manabu Tamura ◽  
Ryuichi Kanagawa ◽  
Shizuya Saika ◽  
Shunsaku Ohmi ◽  
Toshiya Nakao ◽  
...  

2013 ◽  
Vol 41 (8) ◽  
pp. 746-752 ◽  
Author(s):  
Andrew JR White ◽  
Justo Manuel A Orros ◽  
Paul R Healey

1923 ◽  
Vol 19 (3) ◽  
pp. 50-59
Author(s):  
V. P. Roshchin

The question of cataract extraction - mainly senile - or, more precisely, of the advantages of one or the other surgical method, despite its antiquity and considerable literature, has not lost interest in the eyes of oculists to this day. The fact is that the operation of lens extraction is one of the most important and most demanding on the human eye. Meanwhile, there is no flawless, perfect method of this operation, and every one of them - and there are many - has flaws of one kind or another. Naturally, therefore, ophthalmologists have widely differing opinions on the suitability of one method or another.


1995 ◽  
Vol 21 (4) ◽  
pp. 363-364 ◽  
Author(s):  
Surendra Basti ◽  
Varsha Rathi ◽  
Madhukar K. Reddy ◽  
Satish Gupta

2021 ◽  
pp. 882-888
Author(s):  
Michihiro Kono ◽  
Akiko Ishida ◽  
Sho Ichioka ◽  
Masato Matsuo ◽  
Hiroshi Shimizu ◽  
...  

An 85-year-old Japanese woman with acute primary angle closure in her right eye underwent cataract extraction. Because of the weakness of the Zinn’s zonules, all of the lens tissue including the lens capsule was removed by phacoemulsification. Because of the absence of vitreous prolapse into the anterior chamber, vitrectomy was not performed. Nine days postoperatively, acute angle closure due to pupillary block by an anterior vitreous membrane developed. To resolve the pupillary block, anterior vitrectomy was performed on the same day. Postoperatively, her symptoms resolved, the anterior chamber deepened, and the intraocular pressure normalized. Although rare, acute angle closure due to pupillary block by an anterior vitreous membrane can occur after total lens extraction with phacoemulsification. If no vitreous prolapse occurs with total lens extraction, an intentional hyaloidotomy using an anterior vitreous cutter or iridectomy should be considered to avoid secondary angle closure.


2002 ◽  
Vol 1 (4) ◽  
pp. 92-96
Author(s):  
V. S. Neyasov ◽  
A. S. Ekimov

The modification of small tunnel sclero-corneal incision for lens extraction is suggested. The influence of the incision on corneal curvature and its ability to provide intraoperative and postoperative eyeball hermeticity is experimentally studied.


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