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| http://dx.doi.org/10.1136/bcr-2021-247245 | DOI Listing |
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Aspheric Macular Lens for Complication in Cataract Surgery.
Case Rep Ophthalmol
August 2024
Department of Ophthalmology, Tel Aviv Sourasky Medical Center and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Introduction: In this case report, we demonstrate the application of an aspheric macular lens (Grieshaber, Alcon) for conducting posterior segment procedures after a posterior capsular rupture (PCR) occurrence during cataract surgery.
Case Presentation: During a cataract surgery on a 70-year-old female patient, a PCR was identified, accompanied by the descent of the lens into the vitreous, and prompted subsequent interventions. This involved performing posterior-assisted levitation, anterior segment phacoemulsification, and anterior segment vitrectomy.
Modified posterior assisted levitation of nucleus with infusion fluid from the anterior vitreous.
BMJ Case Rep
May 2024
Ophthalmology, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, India.
Hypersonic vitrectomy in intraoperative posterior capsular rupture with retained nuclear fragments.
Indian J Ophthalmol
February 2023
Bausch and Lomb, Research and Development, New Jersy, US.
In our report, we present the hypersonic vitrectomy (Vitesse, Bausch and Lomb) being employed for anterior vitreous liquefaction and removal in posterior capsular rupture. The capsular tear with nucleus drop during conventional phacoemulsification was managed by vitrectomy using the hypersonic vitrector after posterior-assisted levitation followed by intraocular lens (IOL) implantation. The minimal cortical and epinuclear lens particles in the anterior chamber and vitreous were also liquefied with a stoke length of 30 to 40 μm and aspirated via the Vitesse vitrectomy system.
View Article and Find Full Text PDFPosterior-assisted levitation in a modified way for nucleus retrieval after posterior capsule rupture.
BMJ Case Rep
November 2021
Ophthalmology, Jawaharlal Institute of Post Graduate Medical Education & Research, Puducherry, Puducherry, India.
Modified posterior-assisted levitation with intraocular lens scaffold and glued IOL for sinking nucleus in eyes with inadequate sulcus support.
J Cataract Refract Surg
July 2017
From the Narang Eye Care & Laser Centre (Narang), Ahmedabad, and Dr. Agarwal's Eye Hospital & Research Centre (Agarwal), Chennai, India. Electronic address:
Posterior-assisted levitation is used to retrieve and levitate a sinking nucleus in cataract surgery associated with posterior capsule rupture. After the nucleus is levitated in the anterior chamber, the intraocular lens (IOL) scaffold procedure helps emulsify the nuclear remnants with the phacoemulsification probe and glue-assisted intrascleral haptic fixation (glued IOL) enables appropriate placement of an IOL in cases with insufficient capsule support. We describe a triumvirate procedure for a sinking nucleus in the absence of capsule support that combines modified posterior-assisted levitation, in which the nucleus is levitated from the existing sclerotomy sites of glued IOL surgery, with the IOL scaffold technique, enabling a closed-chamber approach when performed concurrently.
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