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

Al-Haddad C,Khatib L

doi

10.1016/j.jcrs.2012.05.001

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

1123-6

issue

7

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(12)00606-2

journal_volume

38

pub_type

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