Phaco-handpiece used as a Fragmatome for managing nucleus drop
Background: Nucleus drop during cataract surgery is a dreaded complication and requires urgent vitreo-retinal intervention which is managed commonly using a fragmatome. However, a fragmatome is not readily available in routine ophthalmology set-ups because its use is very limited. On the other hand, a phaco-probe is commonly available with all surgeons and makes it cost-effective.
Purpose: The purpose is to demonstrate the utility of a phaco-probe as an alternative to a fragmatome in managing nucleus drop during cataract surgery, making it cost-effective and less time-consuming and simple.
Synopsis: The video shows two cases of complicated cataract surgery in which a nucleus is dropped in the vitreous cavity. The sleeve of the phaco-probe was removed, and infusion was disconnected to make it function as a fragmatome. We noted reduced lenticular repulsion from the phaco-handpiece tip as compared to the fragmatome, and no scleral burns were observed. The cases were completed by secondary placement of an intra-ocular lens in the sulcus in the same sitting. Thus, the phaco-probe can be considered to manage nucleus drop in the absence of a fragmatome.
Highlights: A phaco-probe can be used as an alternative to a framgamtome, which is a cost-effective and simple technique.
Video link: https://youtu.be/6c-40Bcijrc.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:71 |
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| Enthalten in: |
Indian journal of ophthalmology - 71(2023), 1 vom: 30. Jan., Seite 320 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Nene, Amit S [VerfasserIn] |
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| Anmerkungen: |
Date Completed 03.01.2023 Date Revised 05.05.2023 published: Print Citation Status MEDLINE |
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| doi: |
10.4103/ijo.IJO_2200_22 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM350995877 |
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| 500 | |a Date Revised 05.05.2023 | ||
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Background: Nucleus drop during cataract surgery is a dreaded complication and requires urgent vitreo-retinal intervention which is managed commonly using a fragmatome. However, a fragmatome is not readily available in routine ophthalmology set-ups because its use is very limited. On the other hand, a phaco-probe is commonly available with all surgeons and makes it cost-effective | ||
| 520 | |a Purpose: The purpose is to demonstrate the utility of a phaco-probe as an alternative to a fragmatome in managing nucleus drop during cataract surgery, making it cost-effective and less time-consuming and simple | ||
| 520 | |a Synopsis: The video shows two cases of complicated cataract surgery in which a nucleus is dropped in the vitreous cavity. The sleeve of the phaco-probe was removed, and infusion was disconnected to make it function as a fragmatome. We noted reduced lenticular repulsion from the phaco-handpiece tip as compared to the fragmatome, and no scleral burns were observed. The cases were completed by secondary placement of an intra-ocular lens in the sulcus in the same sitting. Thus, the phaco-probe can be considered to manage nucleus drop in the absence of a fragmatome | ||
| 520 | |a Highlights: A phaco-probe can be used as an alternative to a framgamtome, which is a cost-effective and simple technique | ||
| 520 | |a Video link: https://youtu.be/6c-40Bcijrc | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a nulceus drop | |
| 650 | 4 | |a phaco handpiece | |
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| 700 | 1 | |a Shah, Sonal |e verfasserin |4 aut | |
| 700 | 1 | |a Sheth, Siddharth |e verfasserin |4 aut | |
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