Trocar blade-assisted skewer technique for phacoemulsification of a dislocated lens

Autor: Laura Liu, Yih-Shiou Hwang, Wei-Chi Wu, Chi-Chun Lai, Jorn-Hon Liu
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Taiwan Journal of Ophthalmology, Vol 14, Iss 1, Pp 129-132 (2024)
Druh dokumentu: article
ISSN: 2211-5056
2211-5072
DOI: 10.4103/tjo.TJO-D-22-00138
Popis: A posteriorly dislocated lens is often managed with a fragmatome through a pars plana approach because it is difficult to manage anteriorly. The lens often sinks to the surface of the retina or floats around in the vitreous cavity during pars plana lensectomy. Mechanical trauma can occur while removing the dislocated lens fragments. However, sometimes the lens can be confined to the anterior vitreous cavity even though the zonules are completely disrupted. It would be ideal if there was a simple way to stabilize and support the lens so that the lens could remain in the posterior chamber while phacoemulsification is performed through a corneal incision as usual. We describe a technique using a trocar blade to stabilize the lens while performing phacoemulsification through a corneal incision. We found it to be a useful and safe instrument to support the subluxated lens during phacoemulsification.
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