ISTANBUL escrs

Limbal phacoemulsification of the retained hard nuclear fragments in the vitreus floated with perfluorocarbon liquid

Session Details

Session Title: Cataract 2
Session Date/Time: Saturday 21/02/2015 | 08:30-11:00
Paper Time: 10:30
Venue: Hall 1
First Author: : M.Acar TURKEY
Co Author(s): :    N. Unlu   G. Uney   D. Hazirolan   M. Demir   F. Ornek  

Abstract Details

Purpose:

To compare the anatomical and visual outcome of a new modified technique of phacoemulsification (PE) of retained hard nuclear fragments in the vitreous floated with perfluorocarbon liquid (PFCL) after pars plana vitrectomy with pars plana phacofragmentation and limbal extraction.

Setting:

Department of Ophthalmology, Ankara Training and Research Hospital.

Methods:

Medical records of 23 patients (11 male, 12 female) with dropped hard (grade 3-4) nuclear fragments during cataract surgery who had pars plana vitrectomy and removal of nuclear fragments were reviewed retrospectively. The visual and anatomical outcome of the eyes that had limbal PE of the hard nuclear fragments floated up to the pupillary area with the use of PFCL were compared with the eyes that had pars plana phacofragmentation and limbal extraction. Statistical analysis was not done as the number of the cases in the groups were small in this preliminary study.

Results:

There were 8 cases in pars plana phacofragmentation group (group 1), 9 cases in limbal extraction group (group 2) and 6 cases in limbal PE group (group 3). In group 1; one (12,5%) eye had iatrogenic tear and 1(12,5%) eye had bullous keratopathy, in group 2; one (11,1%) eye had retinal detachment, 2 (22,2 %) eyes had bullous keratopathy, in group 3; one (16,6%) eye had corneal edema. Final mean visual acuity was 0.67 LogMAR in group 1, 0,43 LogMAR in group 2, 0,28 LogMAR in group 3. Retina was attached in all patients at the last follow up visit.

Conclusions:

Llimbal PE of the retained hard nuclear fragments floated with PFCL up to the pupillary area is a new modified technique which seems to be easy, effective and safe. Use of the limbal incisions of the primary surgery is another advantage of this technique. As the visual and anatomical outcome is comparable with the conventional methods it may be a good alternative in aphakic eyes. Leaving the eye aphakic in a case with retained hard nuclear fragments in the vitreous may allow the use of this new modified limbal PE technique combined with secondary intraocular lens implantation.

Financial Disclosure:

NONE

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