Standardized Flanged Intrascleral Intraocular Lens Fixation with the Double-Needle Technique for Cataract Luxation in the Vitreous Chamber during Phacoemulsification

Copyright © 2021 Gianluca Besozzi et al..

PURPOSE: To assess the visual and refractive outcome of immediate intraoperative vitrectomy and intrascleral intraocular lens implantation using a "standardized" sutureless Yamane technique during cataract luxation in the vitreous chamber as a complication of phacoemulsification.

DESIGN: A prospective, interventional, consecutive case series.

MATERIALS AND METHODS: Twelve patients underwent vitrectomy and intrascleral intraocular lens fixation using a standardized Yamane technique as the primary procedure during complicated phacoemulsification. Patients were evaluated preoperatively and 6 months postoperatively for best-corrected distance visual acuity, correspondence to the preoperative refractive target in the spherical equivalent, endothelial cell count, and complications.

RESULTS: Mean preoperative best-corrected visual acuity was 1.16 ± 0.3 logarithm of the minimum angle of resolution (logMAR), the endothelial cell count was 1910.5 ± 297.64, and target refraction at baseline was -0.197 ± 0.087. Postoperatively, best-corrected visual acuity was significantly improved; the mean value was 0.05 logMAR ± 0.06. Mean baseline target refraction in the spherical equivalent was -0.20 ± -0.09 (range: -0.08 to -0.37), and mean final refraction was -0.44 ± -0.14 (range: -0.25 to -0.75) with no significant difference (p=0.87). No complication was registered intra- and postoperatively.

CONCLUSION: Standardization of the Yamane technique seemed a valuable option for patients who had complicated phacoemulsification to achieve a predictable refractive outcome. Synopsis. The predictable refractive outcome could be achieved with the immediate standardized Yamane technique in patients with intraoperative cataract luxation in the vitreous chamber during phacoemulsification.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:2021

Enthalten in:

Journal of ophthalmology - 2021(2021) vom: 05., Seite 9998482

Sprache:

Englisch

Beteiligte Personen:

Besozzi, Gianluca [VerfasserIn]
Posarelli, Chiara [VerfasserIn]
Costa, Maria Carmela [VerfasserIn]
Montericcio, Alessio [VerfasserIn]
Nitti, Giuseppe [VerfasserIn]
Giancipoli, Ermete [VerfasserIn]
L'Abbate, Milena [VerfasserIn]
Pignatelli, Francesco [VerfasserIn]
Parolini, Barbara [VerfasserIn]
Figus, Michele [VerfasserIn]

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Journal Article

Anmerkungen:

Date Revised 23.04.2022

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1155/2021/9998482

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM325573794