Retroiridian anterior vitrectomy
a novel technique for the removal of late cortical remnants located in the posterior segment for anterior segment surgeons
DOI:
https://doi.org/10.70313/2718.7446.v17.n01.298Keywords:
posterior capsule ruptura, cataract surgery, retained lens, anterior vitrectomy, retroiridian anterior vitrectomyAbstract
We present a novel surgical technique for the aspiration of late cortical remnants in pseudophakic patients with posterior capsule rupture that are located on the anterior hyaloid visible with pupil dilation. The technique, called retroiridian anterior vitrectomy, consists of the insertion of an anterior vitrectomy tip through a peripheral iridectomy —behind the iris— to aspirate the cortical remnants. To maintain the anterior chamber formed during surgery, an irrigation line is used.
This technique offers a number of advantages over other techniques, such as its lower invasiveness, greater speed, and less need for equipment, as well as being easy to perform for any anterior segment surgeon.
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References
Schaal S, Barr CC. Management of retained lens fragments after cataract surgery with and without pars plana vitrectomy. J Cataract Refract Surg 2009; 35: 863-867.
Hutton WL, Snyder WB, Vaiser A. Management of surgically dislocated intravitreal lens fragments by pars plana vitrectomy. Ophthalmology 1978; 85: 176-189.
Arriola-Villalobos P, Iglesias-Lodares I, Díaz-Valle D, García Gil de Bernabé J. Glaucoma agudo por bloqueo pupilar secundario a luxación posterior de lente acrílica intraocular tras capsulotomia Nd:YAG. Arch Soc Esp Oftalmol 2011; 86: 300-302.
Vajpayee RB, Angra SK, Titiyal JS et al. Pseudophakic pupillary-block glaucoma in children. Am J Ophthalmol 1991; 111: 715-718.
Alza AG, Galletto E. Retroiridian pupilloplasty. Oftalmol Clín Exp 2022; 15: 40-47.
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