Akamine Rinko, Miyamoto Naomi, Kiritoshi Shoko, Kusaka Mami, Akimoto Masayuki
Osaka Red Cross Hospital, Osaka, Japan.
Clin Ophthalmol. 2021 Feb 23;15:769-774. doi: 10.2147/OPTH.S287462. eCollection 2021.
We previously reported a novel technique using an elastic silicone bowl, which was handmade from a phaco test chamber, to salvage dislocated lenses and perform phacoemulsification and aspiration (PEA) on the bowl. However, creating the bowl was challenging.
A factory-made elastic silicone sheet (ESS), a ready-to-use alternative for the posterior capsule of the lens, was prepared. We used this sheet to salvage and support the dislocated/subluxated lenses in 11 eyes of nine patients.
We could use a sheet immediately after we opened the package. In all the cases, we could insert a sheet beneath the lens and PEA performed at the center of the operative field. There was only one incident where the lens could not be placed onto the disc at the first attempt, but the lens was eventually salvaged. There was no risk of rupture during PEA, and the ESS could be removed completely without any complications.
The factory-made ESS described here can be used for salvaging dislocated/subluxated lenses and safely performing PEA.
我们之前报道了一种使用弹性硅胶碗的新技术，该碗由超声乳化测试腔手工制作而成，用于挽救脱位晶状体并在碗上进行超声乳化吸除术（PEA）。然而，制作该碗具有挑战性。
制备了一种工厂制造的弹性硅胶片（ESS），它是晶状体后囊膜的即用型替代品。我们使用该片挽救并支撑了9例患者11只眼中脱位/半脱位的晶状体。
打开包装后即可立即使用该片。在所有病例中，我们都能将该片插入晶状体下方，并在手术视野中心进行PEA。只有1例在首次尝试时晶状体无法放置到盘上，但最终晶状体得以挽救。PEA过程中没有破裂风险，并且ESS可以完全移除，没有任何并发症。
这里描述的工厂制造的ESS可用于挽救脱位/半脱位晶状体并安全地进行PEA。
