Removal of lens material dropped into the vitreous cavity during cataract surgery using an optical fiber-free intravitreal surgery system

2003 ◽  
Vol 29 (7) ◽  
pp. 1256-1259 ◽  
Author(s):  
Masayuki Horiguchi ◽  
Yoshihisa Kojima ◽  
Yoshiaki Shimada
Keyword(s):  
Optical Fiber ◽  
Cataract Surgery ◽  
Vitreous Cavity ◽  
Lens Material

Vitreoretinal Surgery in the Treatment of Dislocations of Intraocular Lens and Nucleus-Lens Particules into the Vitreous Cavity

2021 ◽  
pp. 2-6
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lens ◽  
Relative Frequency ◽  
Surgical Techniques ◽  
Vitreoretinal Surgery ◽  
Vitreous Cavity ◽  
Intraocular Lenses

Drops of lens nucleus/cortex particles into the vitreous cavity or dislocations of intraocular lenses (IOLs) are one of the serious complications of cataract surgery with an increasing relative frequency with the increase in the number of cataract surgeries. In addition, spontaneous and traumatic dislocations are other common case groups that should be treated. In this article, the vitreous dislocations of nucleus/cortex residues or IOL dislocations are discussed with different vitreoretinal surgical techniques.

Surgical Outcomes for Lens Fragments Dropped into the Vitreous Cavity during Cataract Surgery

2012 ◽  
Vol 53 (1) ◽  
pp. 68 ◽  
Author(s):  
Youn Joo Choi ◽  
Kyung Seek Choi ◽  
Sung Jin Lee ◽  
Mi Ri Rhee
Keyword(s):  
Cataract Surgery ◽  
Surgical Outcomes ◽  
Vitreous Cavity

scholarly journals Wheel Spokes Technique for Endothelial Keratoplasty for Extremely Mydriatic Bullous Keratopathy Eyes without Capsular Support

2018 ◽  
Vol 9 (1) ◽  
pp. 238-242 ◽  
Author(s):  
Hidenori Tanaka ◽  
Koji Hirano ◽  
Masayuki Horiguchi
Keyword(s):  
Cataract Surgery ◽  
Argon Laser ◽  
Vitreous Cavity ◽  
Bullous Keratopathy ◽  
Sphincter Muscle ◽  
Endothelial Keratoplasty ◽  
Laser Iridotomy ◽  
Acute Glaucoma ◽  
A New Technique ◽  
Capsular Support

We describe a new technique to prevent an endothelial donor graft from dropping into the vitreous cavity during non-Descemet stripping automated endothelial keratoplasty (nDSAEK) for extremely mydriatic bullous keratopathy (BK) eyes without capsular support. The patient was a 79-year-old woman who underwent nDSAEK for an extremely mydriatic BK eye with an incomplete barrier between the anterior and posterior chambers. She had undergone argon laser iridotomy for acute glaucoma at the age of 59 years and cataract surgery 3 years later. The pupil was extremely mydriatic as a result of iris sphincter muscle damage associated with an acute glaucoma attack and cataract surgery. After cataract surgery, the dislocated intraocular lens (IOL) sometimes touched the corneal endothelium. Despite simultaneous surgery to remove the dislocated IOL and lens capsule, vitrectomy, and intrascleral IOL fixation, her corneal endothelial decompensation progressed to BK. During nDSAEK, three 9-0 Prolene suture threads were placed through the recipient’s cornea, limbus-to-limbus, resembling wheel spokes, to prevent the graft from dropping into the vitreous cavity. With the aid of these pre-placed sutures, the graft was inserted safely and was well attached to the host’s posterior cornea by air tamponade without suturing. The wheel spokes technique prevented the endothelial graft from dropping during intraoperative manipulation, suggesting that nDSAEK is possible even in an extremely mydriatic aphakic BK eye without capsule support.

scholarly journals Influence of intraocular lens material on the development of acute endophthalmitis after cataract surgery?

Eye ◽  
2006 ◽  
Vol 22 (2) ◽  
pp. 184-193 ◽  
Author(s):  
L Kodjikian ◽  
F Beby ◽  
M Rabilloud ◽  
D Bruslea ◽  
I Halphen ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lens ◽  
Lens Material

Surgical and visual outcomes of posterior dislocated lens fragments after cataract surgery during 5-years at a tertiary eye hospital of North India

2019 ◽  
Vol 11 (2) ◽  
pp. 172-180
Author(s):  
Lagan Paul ◽  
Manisha Agarwal ◽  
Shalini Singh ◽  
Rahul Mayor ◽  
Chanda Gupta ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Retinal Detachment ◽  
Cataract Surgery ◽  
Visual Outcome ◽  
Vitreous Cavity ◽  
Age Related Macular Degeneration ◽  
Visual Outcomes ◽  
Poor Visual Outcome ◽  
Age Related

Objective: To determine the surgical and visual outcomes of posteriorly dislocated lens fragments in the vitreous cavity in patients undergoing cataract surgery. Methods: A total of 149 eyes of 149 patients from 2013 to 2018 were included in the study. The primary cataract surgery was performed either at the base hospital and its peripheral centres or referred from elsewhere. Pars plana vasectomy and nucleus removal was performed along with implantation of intraocular lens, wherever possible. Success was defined as best corrected visual acuity (BCVA) ≥ 6/12 at 3 months follow up. Poor visual outcome was defined as per WHO guidelines as BCVA ≤ 3/60. Results: Posterior capsular rupture and dislocation into vitreous cavity most frequently occurred during phaco-fragmentation in cases of phacoemulsification and during nucleus delivery in cases of small incision cataract surgery. Early vitrectomy was performed within 3 days in 36.2% of cases and within 14 days in 63.8% of cases. Successful visual outcome was achieved in 85.2% of patients at 3 months follow up after vitrectomy. Iatrogenic retinal break occurred in five patients during vitrectomyand five patients had retinal detachment. Poor visual outcome was observed in 12eyes, out of which glaucomatous optic neuropathy seen in 5 cases, cystoid or diabeticmacular edema in 4 cases and age related macular degeneration in 3 cases. Conclusion: Posterior dislocation of lens can be successfully managed in majority of cases with vitreoretinal surgical intervention. The timing of vitrectomy whether performed early or late did not affect the visual outcome. The most important predictorof final visual acuity after PPV for retained lens fragments is a less complicated clinical course without any associated complications such as retinal detachment, cystoidmacula edema and glaucoma. Expertise of the primary cataract surgeon could not be assessed in this study, though surgeon grade with more experience is an important factor in the assessment of complications during the cataract surgery.

scholarly journals Current Medical and Surgical Management of Retained Lens Fragments After Cataract Extraction

2014 ◽  
Vol 07 (02) ◽  
pp. 95
Author(s):  
Shlomit Schaal ◽  
Brooke LW Nesmith ◽  
Mark A Ihnen ◽  
Motasem Al-Latayfeh ◽  
◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Surgical Management ◽  
Anterior Segment ◽  
Corneal Edema ◽  
Cataract Extraction ◽  
Pubmed Database ◽  
Close Cooperation ◽  
Contemporary Management ◽  
Management Recommendations ◽  
Lens Material

Purpose:To review current literature understanding and modern clinical guidelines, and to provide contemporary management recommendations regarding the medical and surgical management of retained lens fragments (RLF) after cataract surgery.Methods:Literature review for articles published in the PubMed database between 1948 and 2014 with the following keywords: retained lens fragments, retained lens material, dropped nuclear fragments, dislocated lens.Results:RLF is a complication of cataract surgery, with incidence reported between 0.18 % and 1.1 %, which can result in severe inflammatory reaction, leading to significant vision-threatening complications, including cystoid macular edema, glaucoma, uveitis, and corneal edema. Management of RLF can be either medical or surgical, depending upon the severity of inflammation and symptoms. Proper timing of either medical or surgical management is crucial in preventing visual loss.Conclusion:RLF is a well-known complication of modern cataract surgery that should be managed promptly medically or surgically. Close cooperation between the anterior segment and posterior segment surgeon is crucial for optimal results.

scholarly journals Posterior Polar Cataract

2018 ◽  
Vol 1 (1) ◽  
pp. 7-8
Author(s):  
Alina Gheorghe ◽  
Roxana Gabriela Chiș
Keyword(s):  
Surgical Technique ◽  
Cataract Surgery ◽  
Vision Loss ◽  
Slit Lamp ◽  
Slit Lamp Examination ◽  
Anterior Vitrectomy ◽  
Capsular Rupture ◽  
Manual Manipulation ◽  
Lens Material ◽  
Posterior Polar Cataract

Young patient was referred to us for cataract surgery removal and artificial intraocular implant , due to progressive vision loss. Slit lamp examination revealed posterior polar cataract. Posterior  Polar cataract represent a medically and surgically unique subset of cataract that often arise at the end of a hyaloid artery remnant, which can result in a range of pathology from the benign "Mittendorf dot" to a more clinically relevant cataract.[1] Capsular fragility has been reported [2] that is why surgical technique must place the least amount of stress possible on the posterior capsule. [2] The surgeon should avoid hydrodissesction and the removal of the nucleus should be performed in a very stable anterior chamber. After lens material phacoemulsification, manual manipulation of posterior polar plaque should be attempted. If posterior capsular rupture occurs, anterior vitrectomy should be done before placing the intraocular lens.

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