Article Text

other Versions

PDF
Clinical outcomes of sleeveless phacotip assisted levitation of dropped nucleus
  1. Amar Agarwal1,
  2. Priya Narang2,
  3. Dhivya A Kumar1,
  4. Ashvin Agarwal1
  1. 1Department of Ophthalmology, Dr. Agarwal's Eye Hospital and Eye Research Centre, Chennai, India
  2. 2Narang Eye Care and Laser Centre, Ahmedabad, India
  1. Correspondence to Professor Amar Agarwal, Department of Ophthalmology, Dr. Agarwal's Eye Hospital and Eye Research Centre, 19, Cathedral Road, Chennai 600 086, India; dragarwal{at}vsnl.com

Abstract

Background/aim To demonstrate the feasibility of a sleeveless phacotip-assisted approach to levitate dropped nucleus.

Methods This single-centre, retrospective, interventional, non-comparative case series reviewed the medical records of 34 eyes of 34 patients. Corrected and uncorrected distance visual acuity (CDVA, UDVA), early and late postoperative complications and ultrasound biomicroscopic (UBM) evaluation of the sclerotomy site was analysed.

Results At 18 months follow-up, the mean postoperative UDVA and CDVA in Snellen's decimal equivalent was 0.42±0.16 and 0.91±0.2, respectively. There was a significant improvement in the UDVA (p=0.001) and CDVA (p=0.002). Nucleus drop occurred following intraoperative posterior capsular rupture in 25 eyes (73.5%), zonular weakness in 5 eyes (14.8%) and post-trauma in 4 eyes (11.7%). In the early postoperative period, corneal oedema was seen in 2 eyes, pigment dispersion in 3 eyes and vitritis in 2 eyes. There was loss of CDVA in 1 (2.9%) eye due to persistent cystoid macular oedema. UBM did not reveal any vitreous incarceration into the sclerotomy site.

Conclusion Dropped nucleus was successfully levitated into anterior chamber with this technique, resulting in a significant visual outcome with a favourable complication rate.

  • Lens and zonules
  • Posterior Chamber
  • Retina
  • Treatment Surgery
  • Vitreous

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles