Cataract surgery in the small eye

Hoffman, Richard S.; Vasavada, Abhay R.; Allen, Quentin B.; Snyder, Michael E.; Devgan, Uday; Braga-Mele, Rosa

doi:10.1016/j.jcrs.2015.10.008

Cited by 38 publications

(61 citation statements)

References 45 publications

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“…Furthermore, corneal endothelial cell loss is a main concern due to the closer distance between phacoemulsification tip and corneal endothelium [1–5]. Postoperative intraocular pressure elevation, macular oedema, choroidal effusion, and malignant glaucoma develop more frequently in these eyes [1, 4–6]. …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The term small eye is used to describe a spectrum of disorders characterized by short-axial length [6]. At the extreme end of the spectrum, there are nanophthalmos and complex microphthalmos which are rare diseases characterized by multiple ocular malformations [6–9]. Relative anterior microphthalmos is more common and characterized by normal axial length, small corneal diameter, and anterior segment [6, 10].…”

Section: Introductionmentioning

confidence: 99%

“…Small eyes with shallow anterior chamber are commonly associated with other problems such as narrow palpebral fissure, small pupil, large lens, and narrow angle glaucoma [4–6]. Cases of intumescent cataract may present with phacomorphic glaucoma and absent red reflex [3, 11].…”

Section: Introductionmentioning

confidence: 99%

“…Preoperative use of dehydrating agents decreases intraocular pressure and deepens the anterior chamber [4, 6]. Intraoperative uses of a cohesive ophthalmic viscoelastic device (OVD) [14] or an anterior chamber maintainer [1] are also helpful methods.…”

Section: Introductionmentioning

confidence: 99%

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Retrospective Study of Vitreous Tap Technique Using Needle Aspiration for Management of Shallow Anterior Chamber during Phacoemulsification

Nossair

Ewais

Ali

2017

Journal of Ophthalmology

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Purpose To evaluate the technique of vitreous tap using needle aspiration for management of anterior chamber shallowness during phacoemulsification. Methods A retrospective study included 26 eyes of 17 patients who underwent phacoemulsification in which vitreous tap was performed using a 27-gauge needle attached to a 5 ml syringe, inserted 3.5 mm from the limbus to aspirate 0.2 ml of liquefied vitreous if a cohesive (OVD) failed to sufficiently deepen the anterior chamber. Results Preoperative anterior chamber depth was 2.31 ± 0.26 mm, axial length was 21.7 ± 0.67 mm, lens thickness was 4.5 ± .19 mm, and cataract grade was 3.77 ± 1.4. Preoperative CDVA in LogMAR units was 0.98 ± 0.75. Coexisting angle closure glaucoma was present in 7 patients (26.92%) preoperatively. Vitreous needle tap was successful in vitreous removal on the first attempt in 26 eyes (100%). Postoperative follow-up period was 22.88 ± 10.24 (4–39) months. The final postoperative CDVA in LogMAR units was 0.07 ± 0.1, while the final postoperative IOP was 16.54 ± 1.45 mmHg. No complications related to vitreous tap were noted. Conclusion Vitreous needle tap is a simple, cost-effective, and safe technique for management of shallow anterior chamber in phacoemulsification.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Retrospective Study of Vitreous Tap Technique Using Needle Aspiration for Management of Shallow Anterior Chamber during Phacoemulsification

Nossair

Ewais

Ali

2017

Journal of Ophthalmology

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Descriptive and risk factor analysis of infantile cataracts: National Birth Defects Prevention Study, 2000–2011

Nalbandyan

Howley

Cunniff

et al. 2021

American J of Med Genetics Pt A

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Using National Birth Defects Prevention Study (NBDPS) data, we sought to estimate birth prevalence, describe clinical characteristics, and examine risk factors for infantile cataracts. We calculated birth prevalence using the numbers of NBDPS-eligible cataract cases and live births in the study area. We described case infants by the presence of associated ipsilateral eye defects (IEDs) and non-eye-related major birth defects. Using maternal exposure information collected via telephone interview, we conducted logistic regression analyses among the interviewed cases and controls.Birth prevalence of infantile cataracts was 1.07/10,000 live births. Unilateral cataracts were more often associated with IEDs, while infants with bilateral cataracts were more often preterm, full-term with low birth weight, or had non-eye-related major birth defects. Unilateral cataracts were positively associated with maternal nulliparity (adjusted odds ratio [aOR] = 1.61, 95% confidence interval [CI] = 1.18, 2.20; reference: multiparity), whereas bilateral cataracts were positively associated with maternal education <12 years (aOR = 2.08, 95% CI = 1.13, 3.82; reference: education >12 years), and foreign-born nativity (aOR = 1.92, 95% CI = 1.04, 3.52; reference: U.S.-born nativity). The current analysis can inform future epidemiological studies aimed at identifying mechanisms underlying the associations between infantile cataracts and complex maternal exposures, such as lower levels of education and foreign-born nativity.

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Pediatric Cataract Surgery in the Abnormal Anterior Segment

Jastrzembski

Ali

2020

Pediatric Cataract Surgery and IOL Implantation

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Cataract surgery in the small eye

Abstract: No author has a financial or proprietary interest in any material or method mentioned.

Cited by 38 publications

References 45 publications

Retrospective Study of Vitreous Tap Technique Using Needle Aspiration for Management of Shallow Anterior Chamber during Phacoemulsification

Retrospective Study of Vitreous Tap Technique Using Needle Aspiration for Management of Shallow Anterior Chamber during Phacoemulsification

Descriptive and risk factor analysis of infantile cataracts: National Birth Defects Prevention Study, 2000–2011

Pediatric Cataract Surgery in the Abnormal Anterior Segment

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