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

被引:0
|
作者
Liu, Laura [1 ,2 ,6 ]
Hwang, Yih-Shiou [1 ,3 ]
Wu, Wei-Chi [1 ,3 ]
Lai, Chi-Chun [3 ,4 ]
Liu, Jorn-Hon [5 ]
机构
[1] Chang Gung Mem Hosp, Linkou Med Ctr, Dept Ophthalmol, Taoyuan, Taiwan
[2] Chang Gung Univ, Sch Tradit Chinese Med, Taoyuan, Taiwan
[3] Chang Gung Univ, Coll Med, Taoyuan, Taiwan
[4] Chang Gung Mem Hosp, Dept Ophthalmol, Keelung, Taiwan
[5] Cheng Hsin Gen Hosp, Dept Ophthalmol, Taipei, Taiwan
[6] 5 Fu Hsing St, Taoyuan 333, Taiwan
关键词
Dislocated lens; pars plana vitrectomy; phacoemulsification; surgery; trocar blade; SMALL-GAUGE; VITRECTOMY; COMPLICATIONS; FRAGMENTS; REMOVAL;
D O I
10.4103/tjo.TJO-D-22-00138
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
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.
引用
收藏
页码:129 / 132
页数:4
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