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Abstract #50909 Published in IGR 14-3
Vitrectorhexis and lens aspiration with posterior chamber intraocular lens implantation in spherophakia
Al-Haddad C; Khatib LJournal of Cataract and Refractive Surgery 2012; 38: 1123-1126
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.
Ophthalmology Department, American University of Beirut, Beirut, Lebanon. ca12@aub.edu.lb
Full articleClassification:
9.4.4.3 Glaucomas associated with lens dislocation (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)
9.1.2 Juvenile glaucoma (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)