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Kissing microvitreoretinal blade technique: A novel approach for safe and effective endocapsular lens aspiration in microspherophakia

We herein describe the kissing MVR technique in cases of microspherophakia for safe and effective endocapsular lens aspiration. Microspherophakia is associated with abnormally lax and broken zonules, which pose a great challenge to the operating surgeon, especially while creating the openings in the...

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Autores principales: Urkude, Jayanand, Singh, Rashmi, Titiyal, Jeewan S, Sharma, Namrata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9789857/
https://www.ncbi.nlm.nih.gov/pubmed/36190071
http://dx.doi.org/10.4103/ijo.IJO_588_22
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author Urkude, Jayanand
Singh, Rashmi
Titiyal, Jeewan S
Sharma, Namrata
author_facet Urkude, Jayanand
Singh, Rashmi
Titiyal, Jeewan S
Sharma, Namrata
author_sort Urkude, Jayanand
collection PubMed
description We herein describe the kissing MVR technique in cases of microspherophakia for safe and effective endocapsular lens aspiration. Microspherophakia is associated with abnormally lax and broken zonules, which pose a great challenge to the operating surgeon, especially while creating the openings in the capsular bag. In this novel technique, simultaneous use of two 23 G MVR blades reduces the above problem associated with the severely mobile lens. Here, one MVR blade stabilizes the capsular bag and, at the same time, provides counter-traction for the opposite MVR blade while puncturing the capsular bag. Furthermore, the creation of openings in the lens at the equator or just posterior to it is beneficial as the capsule is relatively thicker and stronger at this location. This also minimizes the risk of premature extension to the anterior or posterior capsule, thereby avoiding complications like dropped lens matter, vitreous prolapse, and vitreous traction.
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spelling pubmed-97898572022-12-25 Kissing microvitreoretinal blade technique: A novel approach for safe and effective endocapsular lens aspiration in microspherophakia Urkude, Jayanand Singh, Rashmi Titiyal, Jeewan S Sharma, Namrata Indian J Ophthalmol Surgical Technique We herein describe the kissing MVR technique in cases of microspherophakia for safe and effective endocapsular lens aspiration. Microspherophakia is associated with abnormally lax and broken zonules, which pose a great challenge to the operating surgeon, especially while creating the openings in the capsular bag. In this novel technique, simultaneous use of two 23 G MVR blades reduces the above problem associated with the severely mobile lens. Here, one MVR blade stabilizes the capsular bag and, at the same time, provides counter-traction for the opposite MVR blade while puncturing the capsular bag. Furthermore, the creation of openings in the lens at the equator or just posterior to it is beneficial as the capsule is relatively thicker and stronger at this location. This also minimizes the risk of premature extension to the anterior or posterior capsule, thereby avoiding complications like dropped lens matter, vitreous prolapse, and vitreous traction. Wolters Kluwer - Medknow 2022-10 2022-09-30 /pmc/articles/PMC9789857/ /pubmed/36190071 http://dx.doi.org/10.4103/ijo.IJO_588_22 Text en Copyright: © 2022 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Surgical Technique
Urkude, Jayanand
Singh, Rashmi
Titiyal, Jeewan S
Sharma, Namrata
Kissing microvitreoretinal blade technique: A novel approach for safe and effective endocapsular lens aspiration in microspherophakia
title Kissing microvitreoretinal blade technique: A novel approach for safe and effective endocapsular lens aspiration in microspherophakia
title_full Kissing microvitreoretinal blade technique: A novel approach for safe and effective endocapsular lens aspiration in microspherophakia
title_fullStr Kissing microvitreoretinal blade technique: A novel approach for safe and effective endocapsular lens aspiration in microspherophakia
title_full_unstemmed Kissing microvitreoretinal blade technique: A novel approach for safe and effective endocapsular lens aspiration in microspherophakia
title_short Kissing microvitreoretinal blade technique: A novel approach for safe and effective endocapsular lens aspiration in microspherophakia
title_sort kissing microvitreoretinal blade technique: a novel approach for safe and effective endocapsular lens aspiration in microspherophakia
topic Surgical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9789857/
https://www.ncbi.nlm.nih.gov/pubmed/36190071
http://dx.doi.org/10.4103/ijo.IJO_588_22
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