Levitation of posteriorly dislocated intraocular lens: I.V. catheter connected to the vitreotome aspiration

BackgroundTo introduce a new, simple, and affordable technique that uses a 22G intravenous (I.V.) catheter connected to the vitreotome aspiration to lift the intraocular lens (IOLs) off the retina.MethodsThis retrospective, non-comparative, single surgeon, interventional, consecutive case series exa...

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Main Authors: Ruiping Gu, Yue Guo, Yuan Zong, Rui Jiang, Zhongcui Sun
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Ophthalmology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fopht.2025.1547363/full
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author Ruiping Gu
Ruiping Gu
Ruiping Gu
Yue Guo
Yue Guo
Yue Guo
Yuan Zong
Yuan Zong
Yuan Zong
Rui Jiang
Rui Jiang
Rui Jiang
Zhongcui Sun
Zhongcui Sun
Zhongcui Sun
author_facet Ruiping Gu
Ruiping Gu
Ruiping Gu
Yue Guo
Yue Guo
Yue Guo
Yuan Zong
Yuan Zong
Yuan Zong
Rui Jiang
Rui Jiang
Rui Jiang
Zhongcui Sun
Zhongcui Sun
Zhongcui Sun
author_sort Ruiping Gu
collection DOAJ
description BackgroundTo introduce a new, simple, and affordable technique that uses a 22G intravenous (I.V.) catheter connected to the vitreotome aspiration to lift the intraocular lens (IOLs) off the retina.MethodsThis retrospective, non-comparative, single surgeon, interventional, consecutive case series examined 4 patients (4 eyes) who underwent the surgical procedure from March 12 and October 22, 2023. Reliability, reproducibility, and intraoperative and postoperative complications of the technique were analyzed.ResultsFour patients presenting with posteriorly dislocated IOLs were included. After a complete 23G vitrectomy under wide-angle viewing system or high magnification contact lens, the 22G I.V. catheter was connected to the vitreotome aspiration and active aspiration was applied. When the IOLs were lifted towards the posterior chamber by continuous vacuum aspiration, they were be safely grasped using intraocular forceps and reposited with scleral fixation suturing or removed through a limbal incision. None of the IOLs fell during active aspiration.ConclusionConnection of I.V. catheter with vitreotome aspiration to lift the IOLs off the retina was a new, simple, safe, and affordable technique.
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publisher Frontiers Media S.A.
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spelling doaj-art-0ee50424f5d74147a8b84eba55b8dcc72025-08-20T02:04:52ZengFrontiers Media S.A.Frontiers in Ophthalmology2674-08262025-03-01510.3389/fopht.2025.15473631547363Levitation of posteriorly dislocated intraocular lens: I.V. catheter connected to the vitreotome aspirationRuiping Gu0Ruiping Gu1Ruiping Gu2Yue Guo3Yue Guo4Yue Guo5Yuan Zong6Yuan Zong7Yuan Zong8Rui Jiang9Rui Jiang10Rui Jiang11Zhongcui Sun12Zhongcui Sun13Zhongcui Sun14Department of Ophthalmology, Eye and ENT Hospital of Fudan University, Shanghai, ChinaKey Laboratory of Myopia and Related Eye Diseases, National Health Commission (NHC), Shanghai, ChinaKey Laboratory of Myopia and Related Eye Diseases, Chinese Academy of Medical Sciences, Shanghai, ChinaDepartment of Ophthalmology, Eye and ENT Hospital of Fudan University, Shanghai, ChinaKey Laboratory of Myopia and Related Eye Diseases, National Health Commission (NHC), Shanghai, ChinaKey Laboratory of Myopia and Related Eye Diseases, Chinese Academy of Medical Sciences, Shanghai, ChinaDepartment of Ophthalmology, Eye and ENT Hospital of Fudan University, Shanghai, ChinaKey Laboratory of Myopia and Related Eye Diseases, National Health Commission (NHC), Shanghai, ChinaKey Laboratory of Myopia and Related Eye Diseases, Chinese Academy of Medical Sciences, Shanghai, ChinaDepartment of Ophthalmology, Eye and ENT Hospital of Fudan University, Shanghai, ChinaKey Laboratory of Myopia and Related Eye Diseases, National Health Commission (NHC), Shanghai, ChinaKey Laboratory of Myopia and Related Eye Diseases, Chinese Academy of Medical Sciences, Shanghai, ChinaDepartment of Ophthalmology, Eye and ENT Hospital of Fudan University, Shanghai, ChinaKey Laboratory of Myopia and Related Eye Diseases, National Health Commission (NHC), Shanghai, ChinaKey Laboratory of Myopia and Related Eye Diseases, Chinese Academy of Medical Sciences, Shanghai, ChinaBackgroundTo introduce a new, simple, and affordable technique that uses a 22G intravenous (I.V.) catheter connected to the vitreotome aspiration to lift the intraocular lens (IOLs) off the retina.MethodsThis retrospective, non-comparative, single surgeon, interventional, consecutive case series examined 4 patients (4 eyes) who underwent the surgical procedure from March 12 and October 22, 2023. Reliability, reproducibility, and intraoperative and postoperative complications of the technique were analyzed.ResultsFour patients presenting with posteriorly dislocated IOLs were included. After a complete 23G vitrectomy under wide-angle viewing system or high magnification contact lens, the 22G I.V. catheter was connected to the vitreotome aspiration and active aspiration was applied. When the IOLs were lifted towards the posterior chamber by continuous vacuum aspiration, they were be safely grasped using intraocular forceps and reposited with scleral fixation suturing or removed through a limbal incision. None of the IOLs fell during active aspiration.ConclusionConnection of I.V. catheter with vitreotome aspiration to lift the IOLs off the retina was a new, simple, safe, and affordable technique.https://www.frontiersin.org/articles/10.3389/fopht.2025.1547363/fullposteriorly dislocated intraocular lensI.V. cathetervitreotome aspirationvitrectomy 23-gaugeintraocular forceps
spellingShingle Ruiping Gu
Ruiping Gu
Ruiping Gu
Yue Guo
Yue Guo
Yue Guo
Yuan Zong
Yuan Zong
Yuan Zong
Rui Jiang
Rui Jiang
Rui Jiang
Zhongcui Sun
Zhongcui Sun
Zhongcui Sun
Levitation of posteriorly dislocated intraocular lens: I.V. catheter connected to the vitreotome aspiration
Frontiers in Ophthalmology
posteriorly dislocated intraocular lens
I.V. catheter
vitreotome aspiration
vitrectomy 23-gauge
intraocular forceps
title Levitation of posteriorly dislocated intraocular lens: I.V. catheter connected to the vitreotome aspiration
title_full Levitation of posteriorly dislocated intraocular lens: I.V. catheter connected to the vitreotome aspiration
title_fullStr Levitation of posteriorly dislocated intraocular lens: I.V. catheter connected to the vitreotome aspiration
title_full_unstemmed Levitation of posteriorly dislocated intraocular lens: I.V. catheter connected to the vitreotome aspiration
title_short Levitation of posteriorly dislocated intraocular lens: I.V. catheter connected to the vitreotome aspiration
title_sort levitation of posteriorly dislocated intraocular lens i v catheter connected to the vitreotome aspiration
topic posteriorly dislocated intraocular lens
I.V. catheter
vitreotome aspiration
vitrectomy 23-gauge
intraocular forceps
url https://www.frontiersin.org/articles/10.3389/fopht.2025.1547363/full
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