超声乳化手柄用作劈核器以处理核块掉落。

Phaco-handpiece used as a Fragmatome for managing nucleus drop.

机构信息

Department of Vitreo-Retina, Isha Netralaya, Kalyan, Maharashtra, India.

Department of Cataract, Isha Netralaya, Kalyan, Maharashtra, India.

出版信息

Indian J Ophthalmol. 2023 Jan;71(1):320. doi: 10.4103/ijo.IJO_2200_22.

DOI:10.4103/ijo.IJO_2200_22

PMID:36588274

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10155541/

Abstract

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.

摘要

背景

白内障手术中核的脱落是一种可怕的并发症，需要紧急进行玻璃体视网膜干预，通常使用玻璃体切割器进行治疗。然而，由于其用途非常有限，玻璃体切割器在常规眼科设置中并不常见。另一方面，超声乳化探针通常为所有外科医生所拥有，因此使用起来具有成本效益。

目的

目的是展示在白内障手术中核脱落的情况下，使用超声乳化探针替代玻璃体切割器的效用，使其具有成本效益，且耗时更少，操作更简单。

概要

该视频展示了两例复杂的白内障手术，术中核掉入玻璃体腔。移除超声乳化探针的套管，并断开灌注，使其起到玻璃体切割器的作用。与玻璃体切割器相比，我们注意到从超声乳化手柄尖端的晶状体排斥力减小，并且没有观察到巩膜烧伤。在同一次手术中，通过在巩膜槽中重新植入人工晶状体完成了这两个病例。因此，在没有玻璃体切割器的情况下，可以考虑使用超声乳化探针来处理核脱落。