Chandelier retroillumination–assisted torsional oscillation for cataract surgery in patients with severe corneal opacity

Oshima, Yusuke; Shima, Chiharu; Maeda, Naoyuki; Tano, Yasuo

doi:10.1016/j.jcrs.2007.07.055

Cited by 39 publications

(34 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Retroillumination generated by the chandelier fiber and mercury vapor light source provides excellent intraocular visibility, as we have described. 8 Retroillumination from the posterior side is sufficient to support safe intracapsular manipulation during phacoemulsification and IOL insertion and also sufficiently bright to provide clear visibility of the anterior chamber, thus supporting the safety of Descemet stripping (Figure 2, B) and subsequent DSAEK manipulations.…”

Section: Retroillumination For Dsaek Combined With Cataract Surgerymentioning

confidence: 74%

“…7,8 The chandelier illumination technique was performed only in cases with severe corneal haze through which intraocular visibility could not be obtained with conventional microscopic illumination ( Figure 1, A) or with an illumination light pipe (Figure 1, B). The technique was not used in any case of longstanding bullous keratopathy with dense stromal scarring because PKP is currently a more suitable procedure.…”

Section: Surgical Techniquementioning

confidence: 99%

See 1 more Smart Citation

Chandelier illumination to complete Descemet stripping through severe hazy cornea during Descemet-stripping automated endothelial keratoplasty

Oshima¹,

Shima²,

Hori³

et al. 2008

Journal of Cataract and Refractive Surgery

Self Cite

View full text Add to dashboard Cite

We describe a technique that uses chandelier illumination during Descemet-stripping automated endothelial keratoplasty (DSAEK) in severe bullous keratopathy. A 25-gauge or 27-gauge chandelier illumination fiber inserted through the corneal side port serves as sclera-scattering illumination from the sclerocorneal margin and endoillumination from the anterior chamber and provides excellent visibility for Descemet stripping and intraocular manipulation without obstruction by a hazy cornea. In cases complicated by dense cataract, the chandelier fiber can be inserted transconjunctivally into the pars plana, providing sufficient retroillumination to perform phacoemulsification with intraocular lens implantation combined with Descemet stripping for a DSAEK triple procedure. Because of the powerful illumination and hands-free nature of the chandelier fiber, Descemet membrane can be visualized clearly and stripped as 1 sheet without inadvertent complications. This new technique is safe and might encourage surgeons to perform DSAEK in challenging cases.

show abstract

Section: Retroillumination For Dsaek Combined With Cataract Surgerymentioning

confidence: 74%

Section: Surgical Techniquementioning

confidence: 99%

Chandelier illumination to complete Descemet stripping through severe hazy cornea during Descemet-stripping automated endothelial keratoplasty

Oshima¹,

Shima²,

Hori³

et al. 2008

Journal of Cataract and Refractive Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

“…5,6,[8][9][10] The endoilluminator-assisted technique was first used for capsulorhexis in a patient with intumescent cataract. 11 Yamamoto et al described the trypan blue and endoilumination-assisted phacoemulsification technique in eyes with vitreous hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Chandelier retroillumination-assisted cataract surgery during vitrectomy

Bılgın

Kayıkçıoğlu

2016

Eye

View full text Add to dashboard Cite

Purpose To present an alternative cataract surgical technique in patients with cataract and intravitreal hemorrhage. Methods Twelve cases with poor fundus reflex caused by severe vitreus hemorrhage were included in the study. All patients underwent combined phaco surgery and 23-gauge vitrectomy. Chandelier retroillumination was inserted into the infusion trochar during the cataract operations and was used with low power (50-75%) in necessary steps. Results We did not experience phaco complications or complications due to technique during surgery. Retroillumination assistance was especially useful during final stages of cataract surgery, particularly irrigation-aspiration of cortical material. Conclusion Retroillumination in absence of red fundus reflex may be helpful and can be practiced more often in cataract surgery combined with vitrectomy.

show abstract

“…In addition, femtosecond laser facilitates anterior capsulorhexis in cases with no fundal red reflex (vitreous haemorrhage) or in eyes with narrow anterior chambers, preventing additional intraoperative complications. Previously, in cases without a red reflex, staining with trypan blue and endo-illumination of the vitreous chamber [30] or 23-gauge illuminated infusion chandelier [31,32,33] were used, practices that we consider obsolete now femtosecond laser is available. Femtosecond laser does require additional specific conditions: an acceptable palpebral fissure for appropriate placement of the cone [34] and good pharmacological mydriasis to perform a capsulorhexis of the desired size.…”

Section: Discussionmentioning

confidence: 99%

Combined 23-Gauge Vitrectomy and Femtosecond Laser-Assisted Cataract Surgery

Gómez-Resa

Nieto²,

Corcóstegui³

2014

Ophthalmic Res

View full text Add to dashboard Cite

Background: The aim of this study was to assess the safety and surgical results of femtosecond laser-assisted phacovitrectomy. Methods: A retrospective analysis of the medical records of patients over 50 years of age with vitreoretinal pathology, who had undergone pars plana vitrectomy using 23-gauge instruments and femtosecond laser-assisted cataract surgery and implantation of an intraocular lens, was performed at the Instituto de Microcirugía Ocular between June 2012 and September 2013. The diameter of the anterior capsulorhexis was set at 4.8 mm in cases where a gas tamponade was used and at 5 mm in all other cases. During the pars plana vitrectomy, posterior capsulotomy was performed on all eyes. An assessment was carried out of preoperative characteristics, surgical indications, postoperative results and complications. Only patients with a minimum of 3 months of follow-up were included. Results: A total of 21 eyes in 21 patients (71.4% women) were treated. Mean age (±SD) was 65.8 ± 6.4 years (range 53-76). The most common indication for surgery was epiretinal membrane (61.9%), followed by vitreous haemorrhage (23.8%) and macular hole (14.3%). The mean preoperative best corrected visual acuity (BCVA) was 0.81 ± 1.01 logMAR and the mean postoperative BCVA was 0.12 ± 0.19 logMAR (p = 0.003). 85.7% of patients improved their visual acuity. The remaining patients maintained their visual acuity. The only intraoperative complication related to femtosecond laser was 1 case of suction loss (4.8%). A patient with rhegmatogenous retinal detachment discovered during surgery required an additional circular scleral procedure and developed synechiaes in the early postoperative period (<1 month). There were no cases of subluxation of the intraocular lens. Mean follow-up was 6 months (range 3-14). Conclusions: The application of femtosecond laser in phacovitrectomy is a safe and effective technique that presents advantages compared to conventional techniques in cases of macular pathology and/or vitreous haemorrhage.

show abstract

Chandelier retroillumination–assisted torsional oscillation for cataract surgery in patients with severe corneal opacity

Cited by 39 publications

References 10 publications

Chandelier illumination to complete Descemet stripping through severe hazy cornea during Descemet-stripping automated endothelial keratoplasty

Chandelier illumination to complete Descemet stripping through severe hazy cornea during Descemet-stripping automated endothelial keratoplasty

Chandelier retroillumination-assisted cataract surgery during vitrectomy

Combined 23-Gauge Vitrectomy and Femtosecond Laser-Assisted Cataract Surgery

Contact Info

Product

Resources

About