Intracameral Illuminator-Guided Advanced Lens Capsule Polishing During Cataract Surgery in Eyes with Diabetic Retinopathy

Light exposure from microscope versus intracameral illumination during cataract surgery

“…The advantages could decrease the risk of intraoperative complications, especially in junior cataract surgeons. [5678913]…”

“…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.…”

Commentary: Intracameral illumination for cataract surgery

“…Although removal of equatorial germinative LECs could not be accomplished with this system, improved contrast and depth perception help in advanced polishing of the capsules than the surgical microscope illumination. [5]…”

“…Another potential risk is increased retinal phototoxicity, but intracameral insertion increases the distance between the light source and the posterior pole to greater than 3.0–7.0 mm, generally used during conventional vitrectomy, and also adds another capsular barrier between the illuminator and the macula. [5]…”

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

“…We previously introduced an advanced technique using intracameral illumination in eyes with poor red reflex or diabetic retinopathy (Lee et al. ; Jung et al. ).…”