Preservation of anterior capsule during vitrectomy and lensectomy for retinal detachment with proliferative vitreoretinopathy

MacCumber, Mathew W.; Packo, Kirk H.; Civantos, Joseph M.; Greenberg, Jason B

doi:10.1016/s0161-6420(01)00952-6

Cited by 28 publications

(23 citation statements)

References 11 publications

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“…By creating a capsulotomy, however, another concern is raised regarding the breakage of the stable capsular barrier. This could be especially problematic during air–fluid exchange in combined cataract and vitreous surgery, since the IOL can be subluxated by the air pressure in the vitreous cavity and the air can prolapse to the anterior chamber,4 increasing the risk of corneal endothelial cell loss 5. Some surgeons prefer to insert an IOL in a secondary operation, when fluid–air exchange or silicone oil injection is needed 4.…”

Section: Discussionmentioning

confidence: 99%

“…This could be especially problematic during air–fluid exchange in combined cataract and vitreous surgery, since the IOL can be subluxated by the air pressure in the vitreous cavity and the air can prolapse to the anterior chamber,4 increasing the risk of corneal endothelial cell loss 5. Some surgeons prefer to insert an IOL in a secondary operation, when fluid–air exchange or silicone oil injection is needed 4. The risk of neovascular glaucoma could also increase by free diffusion of vascular growth factors from the ischemic retina to the anterior chamber in ischemic retinal diseases, such as diabetic retinopathy.…”

Section: Discussionmentioning

confidence: 99%

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Optic capture pars plana lensectomy

Lee¹

2012

OPTH

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ObjectiveTo describe an optic capture pars plana lensectomy technique.MethodsAfter core vitrectomy, pars plana lensectomy is performed with preservation of the anterior capsule. Capsulorhexis is performed on the preserved anterior capsule through a 2.8 mm clear corneal incision. An intraocular lens (IOL) is placed in the ciliary sulcus, and then the optic of the IOL is pushed back to the vitreous cavity so that the optic is captured by the surrounding capsulorhexis margin.ResultsThe captured IOL-capsule diaphragm remained stable during air–fluid exchange and prevented air prolapse to the anterior chamber. IOL stability and a clear visual axis were preserved during the follow-up period.ConclusionWith this modified pars plana lensectomy technique, stable IOL position and clear visual axis can be maintained when a pars plana approach is needed during combined cataract and vitreoretinal surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Optic capture pars plana lensectomy

Lee¹

2012

OPTH

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“…Anterior vitrectomy was carried out in cases of posterior capsule rupture and vitreous extruding into the anterior chamber. In the combined surgery group, phacoemulsification was also the routine method to remove the lens; lensectomy was performed if the lens was injured during vitrectomy; anterior capsules were preserved as completely as possible using the methods described by Song et al [13,14]. For the cases needing intraocular gas tamponade, the central 4-mm diameter capsule was excised to prevent subsequent cataract.…”

Section: Surgery and Management For Lens Capsulementioning

confidence: 99%

Proposed classification of lens capsule defects

Song

Sheng

et al. 2007

Graefes Arch Clin Exp Ophthalmol

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“…When lensectomy is being performed in the same sitting, it is advisable to leave the anterior capsule intact to help prevent intraoperative and postoperative complications of silicone oil, simplify future IOL placement and maintain a normal iris appearance [191].…”

Section: Anterior Segment Complicationsmentioning

confidence: 99%

Vitrectomy: when things go wrong

Nagpal¹,

Wartikar²

2007

Expert Review of Ophthalmology

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Pars plana vitrectomy has become an important tool in the treatment of vitreoretinal diseases, with newer applications being considered. This has necessitated an overall improvement in the surgical expertise and the innovative supportive technology driving the machines. Frequent use has also brought about a variety of complications, especially during the learning curve that every surgeon faces. The vitreous cavity being enclosed by the retina and the crystalline lens leave little margin for error. Precise control over instrumentation is required in order to avoid inadvertent mechanical touching of these tissues. Tissue respect is of utmost importance and in this review we discuss all possible complications and ways to avoid them and manage them if they occur.Expert Rev. Ophthalmol. 2(4), 645-660 (2007) History

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Preservation of anterior capsule during vitrectomy and lensectomy for retinal detachment with proliferative vitreoretinopathy

Cited by 28 publications

References 11 publications

Optic capture pars plana lensectomy

Optic capture pars plana lensectomy

Proposed classification of lens capsule defects

Vitrectomy: when things go wrong

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