Intracameral illuminator–assisted advanced cataract surgery combined with 23-gauge vitrectomy in eyes with poor red reflex

Jung, Yun Joo; Kim, Iris Naheah; Yoon, Jehwan; Lee, Jong Yeon; Kim, Kyun Hyung; Lee, Dong Hoon; Nam, Dong Heun

doi:10.1016/j.jcrs.2012.12.036

Cited by 27 publications

(20 citation statements)

References 17 publications

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“…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%

“…Furthermore, no complication had been reported in the previous studies associated with endoillumination assisted cataract surgery. 5,8,13 Jang et al used illuminated infusion chandelier in many surgical steps including capsulorhexis without trypan blue, phacoemulsification, polishing and no complication was observed in their study consisting of six patients with cataracts and vitreous hemorrhage. 5 Authors concluded that patients with vitreous hemorrhage and absent red reflex may benefit from chandelier retroilluminationassisted cataract surgery.…”

Section: Discussionmentioning

confidence: 99%

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Chandelier retroillumination-assisted cataract surgery during vitrectomy

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Kayıkçıoğlu

2016

Eye

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Chandelier retroillumination-assisted cataract surgery during vitrectomy

Bılgın

Kayıkçıoğlu

2016

Eye

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“…; Jung et al. ). In addition to our previous reports, the intracameral dynamic spotlight illumination provided real‐time, three‐dimensional high‐quality images to guide the cataract procedures in eye with corneal opacity, small pupil or advanced cataract.…”

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confidence: 97%

Intracameral dynamic spotlight‐assisted cataract surgery in eyes with corneal opacity, small pupil or advanced cataract

Moon

Lee

et al. 2014

Acta Ophthalmologica

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“…An advanced cataract surgery technique using the intracameral illumination has been introduced with an enhanced 3D effect and an improved depth perception of lens. [56789] Increasing clinical experience with the intracameral illumination has provided us with a better understanding of certain features of this new technology. With concern about the retinal phototoxicity from the microscope coaxial light, this technique using the oblique light focused onto the lens offers the advantage of reduced direct illumination of the macula.…”

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confidence: 99%

Light exposure from microscope versus intracameral illumination during cataract surgery

Kim

Nam

Kim

et al. 2019

Indian J Ophthalmol

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Purpose:To evaluate light exposure from microscope versus intracameral illuminations to patient's and surgeon's retina during cataract surgery.Methods:Thirty consecutive patients who had cataract surgery using microscope and intracameral illuminations. At the point of the ocular of an operating microscope, optical illuminance and irradiance from the microscope illumination (60, 40, 20% intensity) and the intracameral illumination (60% intensity) were measured using a light meter and a spectrometer at a pause after lens capsule polishing in cataract surgery.Results:Average illuminance (lux) was 1.46, 0.66, 0.27, and 0.1 from 60%, 40%, 20% intensity microscope illuminations and 60% intracameral illumination. Average total spectral irradiance (μW/cm2) was 1.25, 0.65, 0.26, and 0.03 from 60%, 40%, 20% intensity microscope illuminations and 60% intracameral illumination.Conclusion:Microscope ocular illuminance and irradiance during cataract surgery were higher in the microscope illumination than in the intracameral illumination. It suggests that light exposure reaching patient's and surgeon's retina during cataract surgery is lower in the intracameral illumination than in the microscope illumination.

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Intracameral illuminator–assisted advanced cataract surgery combined with 23-gauge vitrectomy in eyes with poor red reflex

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

Cited by 27 publications

References 17 publications

Chandelier retroillumination-assisted cataract surgery during vitrectomy

Chandelier retroillumination-assisted cataract surgery during vitrectomy

Intracameral dynamic spotlight‐assisted cataract surgery in eyes with corneal opacity, small pupil or advanced cataract

Light exposure from microscope versus intracameral illumination during cataract surgery

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