Intravitreal Phacoemulsification Through Corneal Incision for Management of Posteriorly Dislocated Lens Material After Complicated Cataract Surgery

Retina ◽  
2019 ◽  
Vol 39 ◽  
pp. S50-S53
Author(s):  
Mauricio Arango ◽  
Andrea Córdoba ◽  
Andrés Arango
Author(s):  
Reinhard Angermann ◽  
Christoph Palme ◽  
Philipp Segnitz ◽  
Andreas Dimmer ◽  
Eduard Schmid ◽  
...  

Summary Background The aim of the present study was to describe surgically induced astigmatism (SIA) and the coupling effect after conventional phacoemulsification cataract surgery (CPS) in relation to the incisional axis. Material and methods A total of 42 patients were included in the retrospective case series study. Corneal topography was obtained for patients with significant cataract before and 6 weeks after CPS with a main clear corneal incision size of 2.4 mm. Patients were grouped according to the relationship of the incisional axis to the position of the steep axis into a steep incisional group and a flat incisional group. Results In total, 46 eyes were included in the study. While the steep incisional group showed an SIA of −0.15 D (± 0.35), the flat incisional group had a significantly higher SIA of 0.20 D (± 0.51) (p = 0.03). The coupling ratio (CR) in the steep incisional group was −0.38 (± 1.41) and in the flat incisional group it was 0.16 (± 0.97). Correspondingly, a coupling constant (CC) of −0.25 was found for group 1 and a CC of 0.0 for group 2. Conclusion Our results suggest that the location of the main incision should be decided with consideration of the corneal astigmatism in order to minimize the SIA. The CR helps to understand the effect of induced astigmatism and the change in spherical equivalent.


Author(s):  
Riyaz Bhikoo ◽  
Matt Blakiston ◽  
William Cunningham ◽  
Sinead McCarthy ◽  
Amanda Charlton ◽  
...  

Author(s):  
L.N. Boriskina ◽  
◽  
A.S. Zotov ◽  
A.S. Balalin ◽  
S.V. Balalin ◽  
...  

Objective. To evaluate the results of complicated cataract surgery in patients with neovascular glaucoma in case of diabetic proliferative retinopathy or postthrombotic macular edema. Material and methods. A retrospective study of the complicated cataract surgery with IOL implantation results was performed in 38 patients (38 eyes) with neovascular glaucoma. The first stage was Lucentis intravitreal injection, then after 2 weeks intraocular pressure (IOP) under combined medical therapy was determined: 1) if IOP was <25 mm Hg, then phacoemulsification was performed; 2) if IOP remained >25 mm Hg, the second stage was transscleral cyclophotocoagulation, and 2 weeks later – cataract phacoemulsification. Results. All patients with neovascular glaucoma had significant increase of the best corrected visual acuity from the initial level on the 1st day, 1- and 3-months post-op. IOP values under medical treatment corresponded to the range of the average statistical norm. There was no recurrence of neovascularization or IOP increase. Conclusion. The application of Lucentis intravitreal injections as well as IOP lowering to the average statistical norm range under medication or laser surgery provide the basis for an effective and safe complicated cataract surgery with IOL implantation in patients with neovascular glaucoma in case of diabetic proliferative retinopathy or post-thrombotic macular edema. Key words: cataract, neovascular glaucoma, phacoemulsification.


2012 ◽  
pp. 1507 ◽  
Author(s):  
Betül Ilkay Sezgin Akçay ◽  
Tahir Kansu Bozkurt ◽  
Esra Guney ◽  
Gurkan Erdogan ◽  
Cihan Ünlü ◽  
...  

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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