The accuracy of referrals was poor in the UK and the other countries. Requiring a combination of criteria and raising the IOP threshold for IOP-only referrals are needed to cut waste in clinical care.
Purpose: To point out the indications for the use of the Anterior Chamber Maintainer (ACM) in order to facilitate cataract surgery in selective cases. Materials and Methods: In a time interval of 4 years the ACM was used in 28 special cataract cases 17 patients had high myopia (12-25 dpt, axial length 28-34 mm), 3 patients had vitreo-retinal pathology known pre-operatively and 8 cases were previously vitrectomized with silicon oil. In these cases the ACM was introduced either from the beginning or during the surgical procedure when excessive fluctuations of the Anterior Chamber (AC) were observed. Results: Though the new generation phaco machines tend to maintain the stability of the AC, the use of the ACM contributed to even greater stability during the insertion and the removal of probes and during the whole procedure, eliminating the risk of complications. All these risky cases were accomplished without intraoperative complications. The surgeons experienced a sense of increased safety during the procedure. Conclusions: The use of the ACM in cataract cases with high risk for complications offers a much greater stability of the AC, by eliminating the fluctuations of the posterior capsule and consequently prevents intraoperative and potentially postoperative complications.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations鈥揷itations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.