ANTERIOR VITRECTOMY FOR SHALLOW ANTERIOR CHAMBER AFTER CATARACT EXTRACTION

2009 ◽  
Vol 60 (3) ◽  
pp. 449-454
Author(s):  
S. DOTTAN ◽  
S. LEVARTOVSKY ◽  
M. OLIVER
Keyword(s):  
Anterior Chamber ◽  
Cataract Extraction ◽  
Anterior Vitrectomy ◽  
Shallow Anterior Chamber

scholarly journals 25-Gauge anterior vitrectomy via the scleral flap in phacoemulsification combined with trabeculectomy for glaucoma and cataract with extremely shallow anterior chamber

2020 ◽  
Author(s):  
Hui Shao ◽  
Bole Wu ◽  
Xinming Ye ◽  
Yiyu Meng
Keyword(s):  
Anterior Chamber ◽  
Anterior Chamber Depth ◽  
Acute Angle ◽  
Angle Closure ◽  
Scleral Flap ◽  
Anterior Vitrectomy ◽  
Suprachoroidal Hemorrhage ◽  
Corneal Decompensation ◽  
Acute Angle Closure ◽  
Shallow Anterior Chamber

Abstract Objective: To observe the safety and efficacy of a surgical technique of 25-gauge anterior vitrectomy via scleral flap in phacoemulsification combined with trabeculectomy for glaucoma and cataract with extremely shallow anterior chamber.Methods: This was a retrospective study composed with 18 eyes of 18 patinets（8 males and 10 females）, including 11 eyes with acute angle closure glaucoma, 8 eyes with lens subluxation combined with glaucoma. All patients underwent phacoemulsification, intraocular lens (IOL) implantation, trabeculectomy, and anterior vitrectomy via the scleral flap in cases where conservative managements cannot control intraocular pressure (IOP). The main outcomes were best corrected visual acuity (BCVA), anterior chamber depth (ACD), IOP, slit lamp microscopic examinations, medications, fundus examinations and complications.Results: The average axial length (AL) was 21.5 ± 0.6 mm (range: 20.0 to 23.2 mm). Mean age was 62.3 ± 7.9 years old (range: 46 to 73 years). Mean ACD increased statistically significant from 0.78 ± 0.43 mm to 2.89 ± 0.41 mm 1 week after surgery (P<0.001). Mean IOP decreased significantly from 43.28 ± 9.38 mmHg to 16.72 ± 6.28 mmHg (P<0.001). There were no serious complications occurred, such as endophthalmitis, retinal detachment, suprachoroidal hemorrhage, corneal decompensation and malignant glaucoma.Conclusions: 25-Gauge anterior vitrectomy via the scleral flap was a safe and effective technology in glaucoma combined with cataract with extremely shallow anterior chamber.

The Use of Oculopressor in Shallow Anterior Chamber Cataract Cases

2008 ◽  
Vol 225 (S 1) ◽  
Author(s):  
Z Bíró ◽  
T Kerek ◽  
K Aranyoss ◽  
P Gyaki
Keyword(s):  
Anterior Chamber ◽  
Shallow Anterior Chamber

ASSOCIATION BETWEEN ANTERIOR CHAMBER DEPTH AND ENDOTHELIAL CELL LOSS AFTER PHACOEMULSIFICATION

2021 ◽  
pp. 30-31
Author(s):  
Gargi Verma ◽  
Kishor Kumar
Keyword(s):  
Endothelial Cell ◽  
Anterior Chamber ◽  
Cell Damage ◽  
Anterior Chamber Depth ◽  
Cell Loss ◽  
Endothelial Cell Loss ◽  
Endothelial Cell Damage ◽  
Percentage Decrease ◽  
Central Cornea ◽  
Shallow Anterior Chamber

Purpose: To assess the association between anterior chamber depth and endothelial cell loss after phacoemulsication Material and Methods: Ninety patients were recruited for this comparative type of observational study who were further divided into 3 groups according to anterior chamber depth (ACD). All patients underwent phacoemulsication procedure and intraocular implantation. Postoperatively endothelial cell loss (ECL) was calculated by measuring percentage decrease in endothelial cell density of central cornea and regression coefcient between ACD and ECLwas assessed in each group. Results: Endothelial cell loss was signicantly higher in shallow anterior chambers to other groups and the association between ACD and ECLwas signicant only in shallow anterior chamber depth group. Conclusion: Eyes with shallow anterior chamber depth are at higher risk for endothelial cell damage and shows an association between ACD and ECLwhen compared to deep anterior chamber depth.

scholarly journals Implantation epithelial iris cyst following the perforating corneal injury

2006 ◽  
Vol 134 (3-4) ◽  
pp. 151-154
Author(s):  
Milos Jovanovic ◽  
Zoran Latkovic
Keyword(s):  
Visual Acuity ◽  
Anterior Chamber ◽  
Cataract Extraction ◽  
Wound Management ◽  
Surgical Removal ◽  
Extracapsular Cataract Extraction ◽  
Secondary Cataract ◽  
Corneal Injury ◽  
Iris Cyst ◽  
Iris Prolapse

The objective of this case report was to present the development of implantation cyst following the perforating corneal injury, the problems related to the treatment, including total surgical excision of the cyst, the secondary cataract extraction, iridoplasty and the artificial intraocular lens reposition. A patient first presented with perforating corneal injury inflicted by a piece of wood, with the iris prolapse. Primary wound management, reposition of prolapsed iris and corneal sutures were performed four days after the injury. Eight months later, the patient was rehospitalized due to an implantation iris cyst and traumatic cataract. The cyst was excised, the extracapsular cataract extraction was done and the anterior chamber lens was implanted. Postoperative visual acuity was normal. Three years later, the patient presented for a follow-up examination, with the cyst filled up again, occupying two thirds of the anterior chamber. This time, the cyst was completely excised, all fibrous remnants of the secondary cataract were removed, and the iridoplasty was necessary due to large iris coloboma. Reposition of the anterior chamber lens was carried out. Histological examination revealed an implantation iris cyst covered by multilayered squamous epithelium. Normal visual acuity was achieved. The patient has been followed-up for six months uneventfully. Management of perforating corneal wound with iris prolapse may lead to development of an implantation iris cyst. Puncture of the cyst as well as incomplete excision will not solve the problem. Complete surgical removal of the iris cyst is the treatment of choice.

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