Bilgin S, Kayikcioglu O
Department of Ophthalmology, Faculty of Medicine, Sifa University, Izmir, Turkey.
Department of Ophthalmology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey.
Eye (Lond). 2016 Aug;30(8):1123-5. doi: 10.1038/eye.2016.112. Epub 2016 Jun 3.
PurposeTo present an alternative cataract surgical technique in patients with cataract and intravitreal hemorrhage.MethodsTwelve cases with poor fundus reflex caused by severe vitreus hemorrhage were included in the study. All patients underwent combined phaco surgery and 23-gauge vitrectomy. Chandelier retroillumination was inserted into the infusion trochar during the cataract operations and was used with low power (50-75%) in necessary steps.ResultsWe did not experience phaco complications or complications due to technique during surgery. Retroillumination assistance was especially useful during final stages of cataract surgery, particularly irrigation-aspiration of cortical material.ConclusionRetroillumination in absence of red fundus reflex may be helpful and can be practiced more often in cataract surgery combined with vitrectomy.
介绍一种针对白内障合并玻璃体积血患者的替代性白内障手术技术。
本研究纳入了12例因严重玻璃体积血导致眼底反射不佳的病例。所有患者均接受了白内障超声乳化手术联合23G玻璃体切除术。在白内障手术过程中,将吊灯式后照灯插入灌注套管,并在必要步骤中以低功率(50 - 75%)使用。
我们在手术过程中未遇到超声乳化并发症或技术相关并发症。后照灯辅助在白内障手术的最后阶段特别有用,尤其是在皮质物质的冲洗 - 抽吸过程中。
在无红色眼底反射的情况下,后照灯在白内障手术联合玻璃体切除术中可能会有所帮助,并且可以更频繁地应用。