Posters
Kissing MVR technique: a novel approach for safe and effective endocapsular lens aspiration in microspherophakia
Poster Details
First Author: J.Urkude INDIA
Co Author(s): R. Singh J. Titiyal N. Sharma
Abstract Details
Purpose:
To describe the safety, efficacy and outcomes of “Kissing MVR (Microvitreoretinal blade) technique” in cases with subluxated/ dislocated microspherophakia
Setting:
Dr. Rajendra Prasad Center For Ophthalmic Sciences, AIIMS, New Delhi, INDIA
Methods:
Patients with microspherophakia presenting to outpatient department were included in study. After thorough examination, patients underwent endocapsular lens aspiration by “Kissing MVR technique”. Our technique involves the simultaneous introduction of two MVR blades into capsular bag, 180° apart at equator or just posterior to equator (thicker and stronger capsule, minimizing risk of extension). Here, one MVR stabilizes mobile lens and at same time provides countertraction to opposite MVR while puncturing into bag. In anterior dislocation, creating iridectomy and avoiding pilocarpine in beginning, helps in prevention of posterior displacement of lens. Postoperatively, patients were followed up 1, 6 and 12 weeks.
Results:
The “kissing MVR technique” was performed in 8 eyes of 4 microspherophakia patients. Age was 7.25±2.2 years with preoperative uncorrected and best-corrected visual acuity (logMAR) being 1.44±0.41 and 0.93±0.71 respectively. Intraocular pressure was 18.37±7.83 mmHg. Three eyes had anterior dislocation; two eyes had lens in pupillary plane and three eyes had posterior chamber subluxation. Using our technique, endocapsular lens aspiration was successfully performed in all patients without intraoperative difficulties and complications. Six eyes were left aphakic and spectacle correction was prescribed post-operatively. Two eyes underwent simultaneous scleral fixation of intraocular lens. Post-operative BCVA at 3 months follow up was 0.12±0.11.
Conclusions:
The “Kissing MVR technique” is a safe and effective procedure for endocapsular lens aspiration in cases of microspherophakia even with severely mobile lens. Simultaneous use of two MVR blades allows the surgeon to create capsular openings in more controlled manner. Our technique overcomes the problems which are encountered when operating on unstable lens such as posterior dislocation of the lens, premature extension of the capsular openings, dropped lens matter, vitreous prolapse, vitreous traction and iatrogenic creation of peripheral retinal breaks. This technique is precise, simple and easily reproducible with optimum surgical outcomes.
Financial Disclosure:
None
