Jongyeop Park1,2, Seungwoo Lee2, Jinhyun Kim3. 1. Department of Ophthalmology, Samsung Medical Center, #81, Irwon-ro, Gangnam-gu, Seoul 06351, Republic of Korea. 2. Department of Ophthalmology, Dongguk University Gyeongju Hospital, Gyeongju-si, Gyeongsangbuk-do 38067, Republic of Korea. 3. Department of Ophthalmology, Asan Medical Center, Songpa-gu, Seoul 05505, Republic of Korea.
Abstract
AIM: To introduce a new surgical technique, air-bubble technique for the management of posterior capsule rupture (PCR) and to evaluate the safety and efficacy of the technique. METHODS: A retrospective case series analysis of 24 eyes of 24 patients, in which the air bubble technique was used for the management of PCR, was performed. Once PCR occurred, a dispersive ophthalmic viscosurgical device (OVD) was injected into the tear. And small volumes (0.2-0.3 mL) of air bubbles were injected beneath the OVD. The air bubble served as a physical barrier and supported the posterior capsule. RESULTS: After surgery, none of the patients had serious complications during the follow-up period of 1y. Extension of the PCR size occurred in only 2 cases, and additional OVD injection was required only in 3 cases. Air bubbles imparted great stability to the nuclear pieces and the posterior capsule. CONCLUSION: The air-bubble technique may be considered a safe and effective procedure for managing a PCR. It may be of value to the inexperienced cataract surgeon. International Journal of Ophthalmology Press.
AIM: To introduce a new surgical technique, air-bubble technique for the management of posterior capsule rupture (PCR) and to evaluate the safety and efficacy of the technique. METHODS: A retrospective case series analysis of 24 eyes of 24 patients, in which the air bubble technique was used for the management of PCR, was performed. Once PCR occurred, a dispersive ophthalmic viscosurgical device (OVD) was injected into the tear. And small volumes (0.2-0.3 mL) of air bubbles were injected beneath the OVD. The air bubble served as a physical barrier and supported the posterior capsule. RESULTS: After surgery, none of the patients had serious complications during the follow-up period of 1y. Extension of the PCR size occurred in only 2 cases, and additional OVD injection was required only in 3 cases. Air bubbles imparted great stability to the nuclear pieces and the posterior capsule. CONCLUSION: The air-bubble technique may be considered a safe and effective procedure for managing a PCR. It may be of value to the inexperienced cataract surgeon. International Journal of Ophthalmology Press.
Entities:
Keywords:
air bubble technique; cataract; posterior capsule rupture
Authors: Gustavo Vedana; Filipe G Cardoso; Alexandre S Marcon; Licio E K Araújo; Matheus Zanon; Daniella C Birriel; Guilherme Watte; Albert S Jun Journal: Int J Ophthalmol Date: 2017-07-18 Impact factor: 1.779