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Management of capsular rupture and vitreous loss in cataract surgery.

Astbury N, Wood M, Gajiwala U, Patel R, In the Sewa Rural TeamChen Y, Benjamin L, Abuh SO - Community Eye Health (2008)

View Article: PubMed Central - HTML - PubMed

Affiliation: Consultant Ophthalmic Surgeon, Norfolk and Norwich University Hospital NHS Trust, Colney Lane, Norwich NR4 7UY, UK.

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Every eye surgeon has experienced – or will experience – that sinking feeling when the posterior capsule is ruptured and vitreous comes forward into the anterior chamber... But all is not lost... If the theatre team are well prepared, the situation can be managed calmly and professionally in order to achieve the best possible visual result... Capsular rupture is a dreaded complication of cataract surgery; it jeopardises the chances of inserting a posterior lens and therefore obtaining the ideal optical correction of the patient's aphakia after the operation... However, if this complication does occur, do not panic: most cases can be salvaged.... I perform two iridectomies when placing an anterior lens... In a patient with an only eye, do not forget that +10 can give good vision; this is better than struggling to insert an imperfect IOL which may cause more damage to the tissues... Remember that an abrupt shallowing of the anterior chamber may extend the tear and that abrupt removal of the instrument may lead to lens material falling into the vitreous. through the side-port incision, if necessary, before removing instruments from the eye. and... If vitreous loss has occurred, remove all vitreous from the anterior chamber and the incision... If there is a large rupture of the posterior capsule, the surgeon may implant the IOL in the ciliary sulcus... A topical steroid, an antibiotic, and a mydriatic should be used postoperatively and regular follow-up visits should take place until the eye is quiet and further complications are ruled out or managed... If you did not place an implant during the initial operation, you can make arrangements to do this at a later date... However, in all cases, vitreous loss must be carefully managed to prevent complications such as defective wound closure, high astigmatism, high or low intraocular pressure, corneal oedema from endothelial touch, retinal detachment, chronic inflammation, or cystoid macular oedema... Management starts with good to reduce the risk of patient movement during surgery.

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Related in: MedlinePlus

A surgeon performs a vitrectomy after capsular rupture and vitreous loss. INDIA
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Figure 3: A surgeon performs a vitrectomy after capsular rupture and vitreous loss. INDIA


Management of capsular rupture and vitreous loss in cataract surgery.

Astbury N, Wood M, Gajiwala U, Patel R, In the Sewa Rural TeamChen Y, Benjamin L, Abuh SO - Community Eye Health (2008)

A surgeon performs a vitrectomy after capsular rupture and vitreous loss. INDIA
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2377380&req=5

Figure 3: A surgeon performs a vitrectomy after capsular rupture and vitreous loss. INDIA

View Article: PubMed Central - HTML - PubMed

Affiliation: Consultant Ophthalmic Surgeon, Norfolk and Norwich University Hospital NHS Trust, Colney Lane, Norwich NR4 7UY, UK.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Every eye surgeon has experienced – or will experience – that sinking feeling when the posterior capsule is ruptured and vitreous comes forward into the anterior chamber... But all is not lost... If the theatre team are well prepared, the situation can be managed calmly and professionally in order to achieve the best possible visual result... Capsular rupture is a dreaded complication of cataract surgery; it jeopardises the chances of inserting a posterior lens and therefore obtaining the ideal optical correction of the patient's aphakia after the operation... However, if this complication does occur, do not panic: most cases can be salvaged.... I perform two iridectomies when placing an anterior lens... In a patient with an only eye, do not forget that +10 can give good vision; this is better than struggling to insert an imperfect IOL which may cause more damage to the tissues... Remember that an abrupt shallowing of the anterior chamber may extend the tear and that abrupt removal of the instrument may lead to lens material falling into the vitreous. through the side-port incision, if necessary, before removing instruments from the eye. and... If vitreous loss has occurred, remove all vitreous from the anterior chamber and the incision... If there is a large rupture of the posterior capsule, the surgeon may implant the IOL in the ciliary sulcus... A topical steroid, an antibiotic, and a mydriatic should be used postoperatively and regular follow-up visits should take place until the eye is quiet and further complications are ruled out or managed... If you did not place an implant during the initial operation, you can make arrangements to do this at a later date... However, in all cases, vitreous loss must be carefully managed to prevent complications such as defective wound closure, high astigmatism, high or low intraocular pressure, corneal oedema from endothelial touch, retinal detachment, chronic inflammation, or cystoid macular oedema... Management starts with good to reduce the risk of patient movement during surgery.

No MeSH data available.


Related in: MedlinePlus