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Phaco-emulsification in completely vitrectomized eyes: Intraoperative analysis of modified phaco sleeve

PURPOSE: The purpose was to evaluate the results of modified sleeve in phacoemulsification of cataract in completely vitrectomised eyes, MATERIALS AND METHODS: Twenty-five previously completely vitrectomized eyes of 23 patients having visually significant cataract were included. After through evalua...

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Autor principal: Joshi, Rajesh S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5151156/
https://www.ncbi.nlm.nih.gov/pubmed/27853014
http://dx.doi.org/10.4103/0301-4738.97072
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author Joshi, Rajesh S
author_facet Joshi, Rajesh S
author_sort Joshi, Rajesh S
collection PubMed
description PURPOSE: The purpose was to evaluate the results of modified sleeve in phacoemulsification of cataract in completely vitrectomised eyes, MATERIALS AND METHODS: Twenty-five previously completely vitrectomized eyes of 23 patients having visually significant cataract were included. After through evaluation they underwent phaco-emulsification by phaco chop with a modified sleeve via temporal clear corneal incision. The modified sleeve was made by creating a small round port of approximate 1 × 1 mm size at the proximate end of the sleeve in line with the already existing ports. This port faced the posterior capsule while performing phacoemulsification. Patients were observed for any intraoperative complications. RESULT: The most common indication for pars plana vitrectomy in our study group was vitreous hemorrhage due to diabetic retinopathy [13 out of 25 eyes (52%)]. Intraoperative findings included miosis [seen in 3 (12%) eyes] and posterior capsular plaque [seen in 2(8%) eyes]. No other significant intraoperative complications (posterior capsular tear, dropped nucleus) were observed. Average effective phaco time was 33 sec. (±15.11). CONCLUSION: Though cataract surgery in postvitrectomized eyes is a challenging situation, modified sleeve prevents anterior chamber fluctuation and avoids complications arising out of it, making the surgery safe.
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spelling pubmed-51511562016-12-20 Phaco-emulsification in completely vitrectomized eyes: Intraoperative analysis of modified phaco sleeve Joshi, Rajesh S Indian J Ophthalmol Original Article PURPOSE: The purpose was to evaluate the results of modified sleeve in phacoemulsification of cataract in completely vitrectomised eyes, MATERIALS AND METHODS: Twenty-five previously completely vitrectomized eyes of 23 patients having visually significant cataract were included. After through evaluation they underwent phaco-emulsification by phaco chop with a modified sleeve via temporal clear corneal incision. The modified sleeve was made by creating a small round port of approximate 1 × 1 mm size at the proximate end of the sleeve in line with the already existing ports. This port faced the posterior capsule while performing phacoemulsification. Patients were observed for any intraoperative complications. RESULT: The most common indication for pars plana vitrectomy in our study group was vitreous hemorrhage due to diabetic retinopathy [13 out of 25 eyes (52%)]. Intraoperative findings included miosis [seen in 3 (12%) eyes] and posterior capsular plaque [seen in 2(8%) eyes]. No other significant intraoperative complications (posterior capsular tear, dropped nucleus) were observed. Average effective phaco time was 33 sec. (±15.11). CONCLUSION: Though cataract surgery in postvitrectomized eyes is a challenging situation, modified sleeve prevents anterior chamber fluctuation and avoids complications arising out of it, making the surgery safe. Medknow Publications & Media Pvt Ltd 2016-09 /pmc/articles/PMC5151156/ /pubmed/27853014 http://dx.doi.org/10.4103/0301-4738.97072 Text en Copyright: © Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Joshi, Rajesh S
Phaco-emulsification in completely vitrectomized eyes: Intraoperative analysis of modified phaco sleeve
title Phaco-emulsification in completely vitrectomized eyes: Intraoperative analysis of modified phaco sleeve
title_full Phaco-emulsification in completely vitrectomized eyes: Intraoperative analysis of modified phaco sleeve
title_fullStr Phaco-emulsification in completely vitrectomized eyes: Intraoperative analysis of modified phaco sleeve
title_full_unstemmed Phaco-emulsification in completely vitrectomized eyes: Intraoperative analysis of modified phaco sleeve
title_short Phaco-emulsification in completely vitrectomized eyes: Intraoperative analysis of modified phaco sleeve
title_sort phaco-emulsification in completely vitrectomized eyes: intraoperative analysis of modified phaco sleeve
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5151156/
https://www.ncbi.nlm.nih.gov/pubmed/27853014
http://dx.doi.org/10.4103/0301-4738.97072
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