Phaco surgery: management of subluxated lenses

Session Details

Session Title: Cataract Surgery Complications

Session Date/Time: Monday 15/09/2014 | 08:00-10:30

Paper Time: 08:18

Venue: Boulevard A

First Author: : S.Della Maggiore ITALY

Co Author(s): :    A. Vento   A. Mannini   P. Martinelli   S. Trivella     

Abstract Details

Purpose:

The AA shows a simple way to manage subluxated lenses in cataract surgery. This method is effective and functional till a 180° zonular dialisys

Setting:

Ophthalmology Department Versilia Hospital Lido Di Camaiore

Methods:

34 phaco surgeries in subluxated lenses have been performed in our department in the last 3 years. The subluxated lenses were the result of pseudoexfoliation syndrome, trauma, Marfan syndrome. The surgery follows these steps: local anesthesia, trocars insertion, capsulorexis, capsular hooks, phaco surgery, tension ring and IOL in the bag.

Results:

31 surgeries had the IOL in the bag. Three cases had capsular posterior brake and nuclear drop into the vitreous; we performed vitrectomy and scleral fixation lens. Mean best corrected visual acuity has been 18/20, no retinal detachment, no vitreous in anterior chamber. Previous glaucoma affected eyes had no worsening of intraocular pressure.

Conclusions:

Subluxated lenses are a very interesting challenge for ophthalmic surgeon. We can apply this method as a routine surgery for these complicated cases.

Financial Interest:

NONE