Vitrectorhexis and lens aspiration with posterior chamber intraocular lens implantation in spherophakia.

Abstract

UNLABELLED:

We describe a technique that uses the vitrector to perform successful lens aspiration and posterior chamber intraocular lens (IOL) implantation in children with spherophakia and anterior lens subluxation. After an anterior chamber maintainer is placed, the ocutome is introduced through a limbal incision to perform a circular vitrectorhexis to avoid excessive manipulation of the unstable lens followed by gentle cortex aspiration. A foldable IOL is injected into the sulcus (3-piece IOL) or bag (1-piece IOL) if the capsule is sufficiently stable. Through a pars plana incision, the ocutome is then used to perform a posterior capsulotomy to prevent late posterior capsule opacification. In our patient, sulcus IOL placement was more stable than in-the-bag placement.

FINANCIAL DISCLOSURE:

Neither author has a financial or proprietary interest in any material or method mentioned.

• Authors: Christiane Al-Haddad, Lama Khatib
• Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 38 Issue 7 Pg. 1123-6 (Jul 2012) ISSN: 1873-4502 [Electronic] United States
• PMID: 22727280 (Publication Type: Journal Article)
• Copyright: Copyright © 2012 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

Topics

• Child
• Eye Abnormalities (surgery)
• Glaucoma (surgery)
• Humans
• Intraocular Pressure
• Lens Implantation, Intraocular
• Lens, Crystalline (abnormalities)
• Male
• Posterior Eye Segment (surgery)
• Prosthesis Implantation
• Suture Techniques
• Visual Acuity (physiology)
• Vitrectomy (instrumentation, methods)