Face-to-face phacoemulsification using a slitlamp in patients who are unable to lie flat

Muraine, M.; Boutillier, Guillaume; Toubeau, D.; Gueudry, J.

doi:10.1016/j.jcrs.2019.08.012

Cited by 7 publications

(5 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Discussionmentioning

confidence: 99%

“…19 Muraine et al successfully performed phacoemulsification on the slitlamp for patients unable to lie flat and reported an excellent intraoperative stereoscopic view comparable with that of the surgical microscopy. 20 Slit illumination differs from the standard illumination used in anterior segment surgeries and from the illumination of the red reflex enhancer offered in modern microscopes. The standard illumination is a mix of coaxial and oblique illuminations, and the red reflex enhancer is an isolated coaxial illumination, while slit illumination is a slit-shaped isolated coaxial illumination beam with an adjustable width and position.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Phacoemulsification in patients with corneal opacities using slit illumination of the surgical microscope

Rateb

Hussien

Tohamy

et al. 2022

J Cataract Refract Surg

View full text Add to dashboard Cite

Performing phacoemulsification in eyes with corneal opacities is challenging even with expert surgeons. Several techniques have been described to improve intraoperative visualization through opacified corneas. This retrospective interventional case series included 10 eyes of 10 patients with coexisting senile cataract and corneal opacity who underwent phacoemulsification with intraocular lens (IOL) implantation under slit illumination of the surgical microscope. Uneventful phacoemulsification with IOL implantation was achieved in all eyes without intraoperative complications. Slit illumination reduced the light scattering and reflection from the corneal opacity, enhanced the red reflex, and improved depth perception simultaneously in different steps of phacoemulsification. Phacoemulsification was safely performed in eyes with corneal opacity under slit illumination of the surgical microscope. It can be considered as a viable option for improving intraoperative visualization in patients with corneal opacities without additional instrumentation.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Phacoemulsification in patients with corneal opacities using slit illumination of the surgical microscope

Rateb

Hussien

Tohamy

et al. 2022

J Cataract Refract Surg

View full text Add to dashboard Cite

show abstract

“…The authors considered this surgical positioning technically challenging and recommended its use only by experienced surgeons. Muraine et al recently reported a series of four eyes in which face-to-face phacoemulsification was performed, with a slit lamp and the surgeon sitting facing the patient and performing a temporal incision [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Facilitating Role of the 3D Viewing System in Tilted Microscope Positions for Cataract Surgery in Patients Unable to Lie Flat

Sandali

Hassani

Balamoun

et al. 2022

JCM

View full text Add to dashboard Cite

Purpose: To assess the utility of the 3D viewing system in tilted microscope positions for the performance of cataract surgery in challenging positions, for patients with difficulty remaining supine. Methods: Prospective, single-center, single-surgeon, consecutive case series of patients undergoing surgery in an inclined position. Results: 21 eyes of 15 patients who had undergone surgery at inclined positions at angles of 20° to 80°, with a mean angle of 47.62°. Surgeon comfort was considered to be globally good. The surgeon rated red reflex perception and the impression of depth as good and stable in all cases. The operating time was slightly longer for patients inclined at angles of more than 50°. On the first day after surgery, BSCVA was 20/25 or better in all cases. No ocular complications occurred in any of the interventions. Conclusions: Due to the ocular-free design of the 3D system, the surgical procedure and the positioning of the surgeon remained almost identical to that for patients undergoing surgery in a supine position, maintaining the safety of the standard surgical approach.

show abstract

“…Upright positioning of a patient for intraocular surgery has mostly been described for circumstances when patients are unable to lie down due to other medical conditions. 2 , 3 It has also been utilized at the end of a case to optimize IOL centration after IOL subluxation. 4 To our knowledge, however, securing an IOL at the beginning of a case with the patient in the upright position to avoid complete dislocation when they are supine has not yet been described.…”

Section: Introductionmentioning

confidence: 99%

Utilizing perioperative patient positioning to correct intraocular lens implant subluxation

Omari

Jeong

Alkhouri

et al. 2023

American Journal of Ophthalmology Case Reports

View full text Add to dashboard Cite

Face-to-face phacoemulsification using a slitlamp in patients who are unable to lie flat

Cited by 7 publications

References 7 publications

Phacoemulsification in patients with corneal opacities using slit illumination of the surgical microscope

Phacoemulsification in patients with corneal opacities using slit illumination of the surgical microscope

Facilitating Role of the 3D Viewing System in Tilted Microscope Positions for Cataract Surgery in Patients Unable to Lie Flat

Utilizing perioperative patient positioning to correct intraocular lens implant subluxation

Contact Info

Product

Resources

About