Bimanual microphacoemulsification and Acri.Smart intraocular lens implantation combined with vitreoretinal surgery
| Autor: | Luca Campi, Cristina Masini, Gian Maria Cavallini, S. Pelloni, A. Pupino |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male Microsurgery Bimanual medicine.medical_specialty microphacoemulsification lens genetic structures medicine.medical_treatment Acrylic Resins Visual Acuity Intraocular lens Vitrectomy Fundus (eye) Lens Implantation Intraocular Retinal Diseases Ophthalmology medicine Humans implantation Prospective Studies Macular hole Aged Aged 80 and over Lenses Intraocular combined Phacoemulsification Acri.Smart intraocular vitreoretinal surgery business.industry Retinal detachment Middle Aged Cataract surgery medicine.disease eye diseases Sensory Systems Surgery Female sense organs business |
| Zdroj: | Journal of Cataract and Refractive Surgery. 33:1253-1258 |
| ISSN: | 0886-3350 |
| DOI: | 10.1016/j.jcrs.2007.03.046 |
| Popis: | Purpose To assess the efficacy and safety of bimanual microphacoemulsification combined with vitrectomy in eyes with clinically evident cataract and vitreoretinal pathology. Setting Institute of Ophthalmology of the University of Modena and Reggio Emilia, Modena, Italy. Methods This prospective case series comprised 19 consecutive patients with clinically significant cataract who were scheduled for vitrectomy. Bimanual microphacoemulsification was performed, and an Acri.Smart 46 S hydrophobic acrylic intraocular lens (IOL) with a 6.0 mm optic (Acri.Tec, Inc.) was implanted in the capsular bag. Immediately after, standard 3-port vitrectomy was performed. Results The prevailing vitreoretinal pathology was retinal detachment, with 1 case of macular pucker and 1 case of macular hole. In all cases, the IOL was implanted in the capsular bag. There were no intraoperative complications during the cataract surgery or vitrectomy. Follow-up 1, 15, 30, 90, and 180 days after surgery showed significant visual recovery in all cases. The mean endothelial loss was 10.05% ± 2.01% (SD). In 3 cases that had tamponade with heavy silicone oil, progressive posterior capsule opacification occurred 6 months after surgery. Conclusions Bimanual microphacoemulsification combined with vitrectomy was effective and safe. The microincisions and 19-gauge instruments provided excellent chamber resistance that simplified surgical maneuvers in eyes that might have a distorted fundus reflection and increased zonular laxity. The Acri.Smart 46 S IOL, which can be injected through a 2.0 mm incision, provided good fundus visibility during vitrectomy and good maneuverability up to the extreme periphery without resulting in glare or distracting reflections for the surgeon. |
| Databáze: | OpenAIRE |
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