Intravitreal Bimanual Surgery for Residual Lens Fragments and Displaced Crystalline Lenses

Yata, Koichiro; Tanikawa, Atsuhiro; Hori, Kazumasa; Nakamura, Akira; Yamada, Hideki; Horiguchi, Masayuki

doi:10.3928/15428877-20090430-22

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…Use of PFCL is a current standard technique for the treatment of a dislocated lens. [1][2][3] Since PFCL is heavier than water, it enables the use of PEA around the iris plane, which prevents retinal damage. However, there are several issues.…”

Section: Discussionmentioning

confidence: 99%

“…Several techniques for treating a dislocated lens have been reported, such as the fragmatome, phaco without sleeve, bimanual techniques, and use of perfluorocarbon liquid (PFCL). [1][2][3][4][5][6][7][8] In cases of lens subluxation, a capsular expander able to sustain the dialyzed zonule may be useful once a continuous curvilinear capsulorhexis is completed. Previously, we reported a new technique using an elastic silicone bowl handmade from the phaco test chamber, 9 which is inserted into the vitreous cavity through a corneoscleral incision.…”

Section: Introductionmentioning

confidence: 99%

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Factory-Made Elastic Silicone Sheet as an Alternative for the Posterior Capsule of the Lens During Phacoemulsification for Dislocated/Subluxated Lenses

Akamine¹,

Miyamoto²,

Kiritoshi³

et al. 2021

OPTH

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Background We previously reported a novel technique using an elastic silicone bowl, which was handmade from a phaco test chamber, to salvage dislocated lenses and perform phacoemulsification and aspiration (PEA) on the bowl. However, creating the bowl was challenging. Methods A factory-made elastic silicone sheet (ESS), a ready-to-use alternative for the posterior capsule of the lens, was prepared. We used this sheet to salvage and support the dislocated/subluxated lenses in 11 eyes of nine patients. Results We could use a sheet immediately after we opened the package. In all the cases, we could insert a sheet beneath the lens and PEA performed at the center of the operative field. There was only one incident where the lens could not be placed onto the disc at the first attempt, but the lens was eventually salvaged. There was no risk of rupture during PEA, and the ESS could be removed completely without any complications. Conclusion The factory-made ESS described here can be used for salvaging dislocated/subluxated lenses and safely performing PEA.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factory-Made Elastic Silicone Sheet as an Alternative for the Posterior Capsule of the Lens During Phacoemulsification for Dislocated/Subluxated Lenses

Akamine¹,

Miyamoto²,

Kiritoshi³

et al. 2021

OPTH

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“…Pars plana stabilization of the dislocated lens using a microvitreoretinal (MVR) blade for pars plana lensectomy (PPL) has been proposed in the past. [ 8 9 ] The benefit of this technique is that a counterforce is provided by the blade so that the lens can be stabilized for phacoemulsification. However, this has not been widely used possibly because the MVR blade is long, which carries the risk of intraocular injury while performing PPL.…”

Section: Introductionmentioning

confidence: 99%

Trocar blade-assisted skewer technique for phacoemulsification of a dislocated lens

Hwang¹,

Wu²,

Lai³

et al. 2023

Taiwan Journal of Ophthalmology

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A posteriorly dislocated lens is often managed with a fragmatome through a pars plana approach because it is difficult to manage anteriorly. The lens often sinks to the surface of the retina or floats around in the vitreous cavity during pars plana lensectomy. Mechanical trauma can occur while removing the dislocated lens fragments. However, sometimes the lens can be confined to the anterior vitreous cavity even though the zonules are completely disrupted. It would be ideal if there was a simple way to stabilize and support the lens so that the lens could remain in the posterior chamber while phacoemulsification is performed through a corneal incision as usual. We describe a technique using a trocar blade to stabilize the lens while performing phacoemulsification through a corneal incision. We found it to be a useful and safe instrument to support the subluxated lens during phacoemulsification.

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Elastic Silicone Bowl to Salvage Dislocated Lenses and Substitute for the Substitutive Posterior Lens Capsule During Phacoemulsification

Kiritoshi

Kusaka²,

Akimoto³

2019

Retina

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Intravitreal Bimanual Surgery for Residual Lens Fragments and Displaced Crystalline Lenses

Cited by 4 publications

References 9 publications

Factory-Made Elastic Silicone Sheet as an Alternative for the Posterior Capsule of the Lens During Phacoemulsification for Dislocated/Subluxated Lenses

Factory-Made Elastic Silicone Sheet as an Alternative for the Posterior Capsule of the Lens During Phacoemulsification for Dislocated/Subluxated Lenses

Trocar blade-assisted skewer technique for phacoemulsification of a dislocated lens

Elastic Silicone Bowl to Salvage Dislocated Lenses and Substitute for the Substitutive Posterior Lens Capsule During Phacoemulsification

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