Air Bubble Technique for Fundus Visualization during Vitrectomy in Aphakia

Purpose. To evaluate the efficacy and safety of air bubble technique for vitrectomy in aphakia. Study Design. Prospective interventional uncontrolled case series. Methods. This study included 53 eyes of 53 patients who are phakic and indicated for phacovitrectomy (7 eyes, group 1), aphakic and indic...

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Main Authors: Mahmoud Mohamed Farouk, Takeshi Naito, Mohammed Elagouz, Hatem Ammar, Alahmady Hamad Alsmman, Engy Mohamed Mostafa
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2017/4721540
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author Mahmoud Mohamed Farouk
Takeshi Naito
Mohammed Elagouz
Hatem Ammar
Alahmady Hamad Alsmman
Engy Mohamed Mostafa
author_facet Mahmoud Mohamed Farouk
Takeshi Naito
Mohammed Elagouz
Hatem Ammar
Alahmady Hamad Alsmman
Engy Mohamed Mostafa
author_sort Mahmoud Mohamed Farouk
collection DOAJ
description Purpose. To evaluate the efficacy and safety of air bubble technique for vitrectomy in aphakia. Study Design. Prospective interventional uncontrolled case series. Methods. This study included 53 eyes of 53 patients who are phakic and indicated for phacovitrectomy (7 eyes, group 1), aphakic and indicated for vitrectomy (22 eyes, group 2), or underwent unplanned vitrectomy for immediate management of a phacoemulsification surgery complicated by rupture posterior capsule with dropped nucleus, fragments, or IOL (24 eyes, group 3). Cases with complicated vitreoretinal pathology were not included in this study. All vitrectomy surgeries were conducted by the air bubble technique in the anterior chamber. Main outcomes included anatomical success, visual acuity, and intraoperative and postoperative complications. Results. The surgical success was achieved in 50 eyes (94.3%). Conversion to BIOM viewing system was needed in the retinal detachment cases of groups 1 and 2. The mean overall LogMAR visual acuity was significantly improved from 1.29 ± 0.58 preoperatively to 0.56 ± 0.19 at the final visit, 6 months postoperatively (P<0.001). Conclusion. The air bubble technique as visualization method for vitrectomy in aphakia is an effective and cheap technique for immediate management of complications of phacoemulsification surgery. This trial is registered with Pan African Clinical Trial Registry PACTR201709002466296.
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institution Kabale University
issn 2090-004X
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publishDate 2017-01-01
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spelling doaj-art-2a06bed08899446784e4b07cb79450cc2025-02-03T06:12:39ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/47215404721540Air Bubble Technique for Fundus Visualization during Vitrectomy in AphakiaMahmoud Mohamed Farouk0Takeshi Naito1Mohammed Elagouz2Hatem Ammar3Alahmady Hamad Alsmman4Engy Mohamed Mostafa5The Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag 82524, EgyptThe Department of Ophthalmology, Graduate School of Biomedical Sciences, Tokushima University, 3-18-15 Kuramoto-cho, Tokushima 770-8503, JapanThe Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag 82524, EgyptThe Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag 82524, EgyptThe Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag 82524, EgyptThe Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag 82524, EgyptPurpose. To evaluate the efficacy and safety of air bubble technique for vitrectomy in aphakia. Study Design. Prospective interventional uncontrolled case series. Methods. This study included 53 eyes of 53 patients who are phakic and indicated for phacovitrectomy (7 eyes, group 1), aphakic and indicated for vitrectomy (22 eyes, group 2), or underwent unplanned vitrectomy for immediate management of a phacoemulsification surgery complicated by rupture posterior capsule with dropped nucleus, fragments, or IOL (24 eyes, group 3). Cases with complicated vitreoretinal pathology were not included in this study. All vitrectomy surgeries were conducted by the air bubble technique in the anterior chamber. Main outcomes included anatomical success, visual acuity, and intraoperative and postoperative complications. Results. The surgical success was achieved in 50 eyes (94.3%). Conversion to BIOM viewing system was needed in the retinal detachment cases of groups 1 and 2. The mean overall LogMAR visual acuity was significantly improved from 1.29 ± 0.58 preoperatively to 0.56 ± 0.19 at the final visit, 6 months postoperatively (P<0.001). Conclusion. The air bubble technique as visualization method for vitrectomy in aphakia is an effective and cheap technique for immediate management of complications of phacoemulsification surgery. This trial is registered with Pan African Clinical Trial Registry PACTR201709002466296.http://dx.doi.org/10.1155/2017/4721540
spellingShingle Mahmoud Mohamed Farouk
Takeshi Naito
Mohammed Elagouz
Hatem Ammar
Alahmady Hamad Alsmman
Engy Mohamed Mostafa
Air Bubble Technique for Fundus Visualization during Vitrectomy in Aphakia
Journal of Ophthalmology
title Air Bubble Technique for Fundus Visualization during Vitrectomy in Aphakia
title_full Air Bubble Technique for Fundus Visualization during Vitrectomy in Aphakia
title_fullStr Air Bubble Technique for Fundus Visualization during Vitrectomy in Aphakia
title_full_unstemmed Air Bubble Technique for Fundus Visualization during Vitrectomy in Aphakia
title_short Air Bubble Technique for Fundus Visualization during Vitrectomy in Aphakia
title_sort air bubble technique for fundus visualization during vitrectomy in aphakia
url http://dx.doi.org/10.1155/2017/4721540
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