Case Reports

Subluxated lens was fully supported and phacoemulsified on artificial lens capsule created from silicone phaco test chamber

Case Report Details

First Author: M.Akimoto JAPAN

Co Author(s):                        

Abstract Details

Purpose:

Although capsule expanders may support the lens capsule with zonular dialysis, posterior capsule is often fluffy, and some risk of posterior capsular rupture remains. Artificial silicone lens capsule can eliminate this risk.

Setting:

Osaka Red Cross Hospital

Report of Case:

The case is a cataract of 96 yr female with shallow anterior chamber, pseudoexfoliation, poor mydriasis, and hard nucleus. After the pupil was dilated with iris-retractor, the zonular dialysis was confirmed. Silicone phaco test chamber was cut as two-armed bowl shape and inserted behind the subluxating lens. Once the lens was supported by the bowl, phacoemulsification was done in standard manner. The bowl was removed and IOL was inserted intrasclerally.

Conclusion/Take Home Message:

Two-armed silicone bowl cut from phaco test chamber can be quickly made and strong enough to be broken during phacoemulsification.

Financial Disclosure:

None