Bimanual microphacoemulsification and Acri.Smart intraocular lens implantation combined with vitreoretinal surgery

Cavallini, Gian Maria; Pupino, A.; Masini, Cristina; Campi, L.; Pelloni, S.

doi:10.1016/j.jcrs.2007.03.046

Cited by 8 publications

(5 citation statements)

References 28 publications

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“…It enables better and faster visual recovery in comparison with isolated vitrectomy [14] and saves a second procedure, which is, furthermore, more complicated in the case of vitrectomised eyes [15,16,17,18]. In contrast to other authors [19], we excluded cases with retinal detachment from any cause since the postoperative incidence of complications is greater, with the formation of proliferative vitreoretinopathy or synechiae in the anterior segment [18,20] (as in 1 of the cases presented in our series) and difficulty in calculating the power of the IOL when there is an associated scleral procedure [21], and IOL stability. …”

Section: Discussionmentioning

confidence: 99%

“…Other manoeuvres which improve intraoperative visualisation of the macula in addition to the extraction of a significant cataract are: suturing the corneal incision instead of stromal hydration, which also favours maintenance of the anterior chamber during insertion of the microcannulas, and performing a posterior capsulotomy during pars plana vitrectomy prior to ERM and/or internal limiting membrane peeling. In this way, postoperative opacification of the posterior capsule is prevented [22,23,24,25,26], achieving more durable visual recovery [19] and assuring a good visualisation of the fundus to monitor retinal pathologies [25,26]. Nd:YAG capsulotomy in previously vitrectomised patients is not free from complications [27].…”

Section: Discussionmentioning

confidence: 99%

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Combined 23-Gauge Vitrectomy and Femtosecond Laser-Assisted Cataract Surgery

Gómez-Resa

Nieto²,

Corcóstegui³

2014

Ophthalmic Res

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Background: The aim of this study was to assess the safety and surgical results of femtosecond laser-assisted phacovitrectomy. Methods: A retrospective analysis of the medical records of patients over 50 years of age with vitreoretinal pathology, who had undergone pars plana vitrectomy using 23-gauge instruments and femtosecond laser-assisted cataract surgery and implantation of an intraocular lens, was performed at the Instituto de Microcirugía Ocular between June 2012 and September 2013. The diameter of the anterior capsulorhexis was set at 4.8 mm in cases where a gas tamponade was used and at 5 mm in all other cases. During the pars plana vitrectomy, posterior capsulotomy was performed on all eyes. An assessment was carried out of preoperative characteristics, surgical indications, postoperative results and complications. Only patients with a minimum of 3 months of follow-up were included. Results: A total of 21 eyes in 21 patients (71.4% women) were treated. Mean age (±SD) was 65.8 ± 6.4 years (range 53-76). The most common indication for surgery was epiretinal membrane (61.9%), followed by vitreous haemorrhage (23.8%) and macular hole (14.3%). The mean preoperative best corrected visual acuity (BCVA) was 0.81 ± 1.01 logMAR and the mean postoperative BCVA was 0.12 ± 0.19 logMAR (p = 0.003). 85.7% of patients improved their visual acuity. The remaining patients maintained their visual acuity. The only intraoperative complication related to femtosecond laser was 1 case of suction loss (4.8%). A patient with rhegmatogenous retinal detachment discovered during surgery required an additional circular scleral procedure and developed synechiaes in the early postoperative period (<1 month). There were no cases of subluxation of the intraocular lens. Mean follow-up was 6 months (range 3-14). Conclusions: The application of femtosecond laser in phacovitrectomy is a safe and effective technique that presents advantages compared to conventional techniques in cases of macular pathology and/or vitreous haemorrhage.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Combined 23-Gauge Vitrectomy and Femtosecond Laser-Assisted Cataract Surgery

Gómez-Resa

Nieto²,

Corcóstegui³

2014

Ophthalmic Res

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“…Cataract surgery, with its microincision variants (coaxial microincision cataract surgery, bimanual microincision cataract surgery), is the most performed intraocular surgical procedure worldwide (1–6). Nowadays, owing to continuous technological innovation, cataract surgery has become more efficient and safe, offering excellent outcomes for patients.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Analysis of IOL Stability of the Lewis Technique for Scleral Fixation

Cavallini

Volante

Maria

et al. 2015

European Journal of Ophthalmology

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The Lewis technique for IOL scleral fixation is an optimal surgical technique in case of absence of capsular support. No IOL luxation in the vitreous chamber has been reported; only 2 of the 10 patients with at least one eroded knot presented a minimal decentration of the lens with no influence on visual acuity. Although knot erosion is not an uncommon occurrence, IOL remains stable in the long term, probably due to a fibrotic process around the suture, and the IOL haptics, which prevent IOL dislocation.

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“…[1][2][3][4] These IOLs are square-edged acrylic hydrophilic and demonstrate good capsular and excellent uveal biocompatibility, 5,6 with a low rate of posterior capsule opacification (PCO) after cataract extraction, similar to that of other acrylic IOLs. 7 Cases of late postoperative PCO have been reported after implantation of older types of acrylic hydrophilic IOLs, such as the MemoryLens (CibaVision) and the Hydroview (Bausch & Lomb Surgical), but the high incidence of PCO with these IOLs was related to a special polishing technique used in the manufacture of the IOLs 8 or to the presence of silicone compounds in the IOLs' package gasket, not to the IOL material (Dough Friesen, Bausch & Lomb Surgical, letter to Therapeutic Products Directorate, June 19, 2001).…”

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confidence: 99%

Capsulorhexis phimosis after bimanual microphacoemulsification and in-the-bag implantation of the Akreos MI60 intraocular lens

Cavallini¹,

Masini²,

Campi³

et al. 2008

Journal of Cataract and Refractive Surgery

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An 80-year-old woman with corticonuclear cataract had cataract extraction by bimanual microphacoemulsification and in-the-bag implantation of the Akreos MI60 (Bausch & Lomb) intraocular lens (IOL). After 6 months, a complete capsulorhexis phimosis developed and surgery was performed to open and reduce the phimosis, with complete functional recovery. In the fellow pseudophakic eye, an acrylic hydrophobic Acri. Smart 48S (Acri.Tec) IOL had been implanted without complications. We conclude that a capsulorhexis phimosis may occur a few months after uneventful cataract surgery and in-the-bag implantation of the Akreos MI60 IOL.

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Bimanual microphacoemulsification and Acri.Smart intraocular lens implantation combined with vitreoretinal surgery

Cited by 8 publications

References 28 publications

Combined 23-Gauge Vitrectomy and Femtosecond Laser-Assisted Cataract Surgery

Combined 23-Gauge Vitrectomy and Femtosecond Laser-Assisted Cataract Surgery

Long-Term Analysis of IOL Stability of the Lewis Technique for Scleral Fixation

Capsulorhexis phimosis after bimanual microphacoemulsification and in-the-bag implantation of the Akreos MI60 intraocular lens

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