Endoillumination-assisted phacoemulsification surgery in severe corneal opacity

Session Details

Session Title: Cataract Surgery Special Cases

Session Date/Time: Monday 12/09/2016 | 08:00-10:30

Paper Time: 09:22

Venue: Auditorium C6

First Author: : E.Yuksel TURKEY

Co Author(s): :    M. Ozmen   K. Bilgihan                 

Abstract Details

Purpose:

To present a technique of endoillumination-assisted phacoemulcification surgery in patients with severe corneal opacity

Setting:

Gazi University, School of Medicine, Department of Ophthalmology, Ankara, Turkey

Methods:

Endoillumination was used to visualize phacoemulsification surgery through severe corneal opacities. A clear corneal and paracentesis wound for phacoemulcification surgery was created at the 10 o’clock and 2 o’clock position respectively. Also, if irrigation/aspiration (A/I) performed bimanually, 23-gauge sclerotomy with trocar system was inserted. A conventional 23 gauge illuminator was inserted into the eye thtrough the paracentesis and anterior capsulorhexis was performed with a capsule forceps after staining of anterior capsule with trypan blue. Phacoemulsification, bimanual or coaxial A/İ and foldable acrylic IOL implantation was performed safely and effectively under endoillumination.

Results:

The various steps of phacoemulcification surgery in patients (chemical burn (1 patient), corneal edema (2 patient associated with chronic narrow angle glaucoma, 2 patient associated with endothelial failure of donor cornea after penetran keratoplasty), herpetic corneal scar (1 patient), band keratopathy (1 patient), squamous cell carcinoma of cornea (1 patient)) with severe corneal opacity were performed safely with endoillumination. Endoillumination provided high quality intraoperative images during surgery in patients with severe corneal opacity and reduced scattering and reflection associated with corneal scars.

Conclusions:

The microscope light aggravates corneal scattering and reflection, also, this attanuates the light passing through cornea. Endoillumination during cataract surgery in patients with severe corneal opacity offered excellent images and prevented high risk surgeries such as open sky cataract surgeries and penetran keratoplasty.

Financial Disclosure:

NONE