Standardized Flanged Intrascleral Intraocular Lens Fixation with the Double-Needle Technique for Cataract Luxation in the Vitreous Chamber during Phacoemulsification
Purpose. To assess the visual and refractive outcome of immediate intraoperative vitrectomy and intrascleral intraocular lens implantation using a “standardized” sutureless Yamane technique during cataract luxation in the vitreous chamber as a complication of phacoemulsification. Design. A prospecti...
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| Format: | Article |
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Wiley
2021-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2021/9998482 |
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| author | Gianluca Besozzi Chiara Posarelli Maria Carmela Costa Alessio Montericcio Giuseppe Nitti Ermete Giancipoli Milena L’Abbate Francesco Pignatelli Barbara Parolini Michele Figus |
| author_facet | Gianluca Besozzi Chiara Posarelli Maria Carmela Costa Alessio Montericcio Giuseppe Nitti Ermete Giancipoli Milena L’Abbate Francesco Pignatelli Barbara Parolini Michele Figus |
| author_sort | Gianluca Besozzi |
| collection | DOAJ |
| description | Purpose. To assess the visual and refractive outcome of immediate intraoperative vitrectomy and intrascleral intraocular lens implantation using a “standardized” sutureless Yamane technique during cataract luxation in the vitreous chamber as a complication of phacoemulsification. Design. A prospective, interventional, consecutive case series. Materials and Methods. Twelve patients underwent vitrectomy and intrascleral intraocular lens fixation using a standardized Yamane technique as the primary procedure during complicated phacoemulsification. Patients were evaluated preoperatively and 6 months postoperatively for best-corrected distance visual acuity, correspondence to the preoperative refractive target in the spherical equivalent, endothelial cell count, and complications. Results. Mean preoperative best-corrected visual acuity was 1.16 ± 0.3 logarithm of the minimum angle of resolution (logMAR), the endothelial cell count was 1910.5 ± 297.64, and target refraction at baseline was −0.197 ± 0.087. Postoperatively, best-corrected visual acuity was significantly improved; the mean value was 0.05 logMAR ± 0.06. Mean baseline target refraction in the spherical equivalent was −0.20 ± −0.09 (range: −0.08 to −0.37), and mean final refraction was −0.44 ± −0.14 (range: −0.25 to −0.75) with no significant difference p=0.87. No complication was registered intra- and postoperatively. Conclusion. Standardization of the Yamane technique seemed a valuable option for patients who had complicated phacoemulsification to achieve a predictable refractive outcome. Synopsis. The predictable refractive outcome could be achieved with the immediate standardized Yamane technique in patients with intraoperative cataract luxation in the vitreous chamber during phacoemulsification. |
| format | Article |
| id | doaj-art-95949d65730b4d8b97b441d290b9969a |
| institution | OA Journals |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-95949d65730b4d8b97b441d290b9969a2025-08-20T02:10:06ZengWileyJournal of Ophthalmology2090-004X2090-00582021-01-01202110.1155/2021/99984829998482Standardized Flanged Intrascleral Intraocular Lens Fixation with the Double-Needle Technique for Cataract Luxation in the Vitreous Chamber during PhacoemulsificationGianluca Besozzi0Chiara Posarelli1Maria Carmela Costa2Alessio Montericcio3Giuseppe Nitti4Ermete Giancipoli5Milena L’Abbate6Francesco Pignatelli7Barbara Parolini8Michele Figus9Department of Ophthalmology, Vito Fazzi Hospital, Lecce, ItalyOphthalmology, Department of Surgical Medical Molecular Pathology and of Critical Area, University Hospital of Pisa, Pisa, ItalyDepartment of Ophthalmology, Vito Fazzi Hospital, Lecce, ItalyDepartment of Biomedical Sciences, Humanitas University, Milan, ItalyDepartment of Ophthalmology, Vito Fazzi Hospital, Lecce, ItalyDepartment of Ophthalmology, Vito Fazzi Hospital, Lecce, ItalyDepartment of Ophthalmology, Vito Fazzi Hospital, Lecce, ItalyDepartment of Ophthalmology, San Giuseppe Moscati Hospital, Taranto, ItalyOphthalmology, Eye Care Clinic, Brescia, ItalyOphthalmology, Department of Surgical Medical Molecular Pathology and of Critical Area, University Hospital of Pisa, Pisa, ItalyPurpose. To assess the visual and refractive outcome of immediate intraoperative vitrectomy and intrascleral intraocular lens implantation using a “standardized” sutureless Yamane technique during cataract luxation in the vitreous chamber as a complication of phacoemulsification. Design. A prospective, interventional, consecutive case series. Materials and Methods. Twelve patients underwent vitrectomy and intrascleral intraocular lens fixation using a standardized Yamane technique as the primary procedure during complicated phacoemulsification. Patients were evaluated preoperatively and 6 months postoperatively for best-corrected distance visual acuity, correspondence to the preoperative refractive target in the spherical equivalent, endothelial cell count, and complications. Results. Mean preoperative best-corrected visual acuity was 1.16 ± 0.3 logarithm of the minimum angle of resolution (logMAR), the endothelial cell count was 1910.5 ± 297.64, and target refraction at baseline was −0.197 ± 0.087. Postoperatively, best-corrected visual acuity was significantly improved; the mean value was 0.05 logMAR ± 0.06. Mean baseline target refraction in the spherical equivalent was −0.20 ± −0.09 (range: −0.08 to −0.37), and mean final refraction was −0.44 ± −0.14 (range: −0.25 to −0.75) with no significant difference p=0.87. No complication was registered intra- and postoperatively. Conclusion. Standardization of the Yamane technique seemed a valuable option for patients who had complicated phacoemulsification to achieve a predictable refractive outcome. Synopsis. The predictable refractive outcome could be achieved with the immediate standardized Yamane technique in patients with intraoperative cataract luxation in the vitreous chamber during phacoemulsification.http://dx.doi.org/10.1155/2021/9998482 |
| spellingShingle | Gianluca Besozzi Chiara Posarelli Maria Carmela Costa Alessio Montericcio Giuseppe Nitti Ermete Giancipoli Milena L’Abbate Francesco Pignatelli Barbara Parolini Michele Figus Standardized Flanged Intrascleral Intraocular Lens Fixation with the Double-Needle Technique for Cataract Luxation in the Vitreous Chamber during Phacoemulsification Journal of Ophthalmology |
| title | Standardized Flanged Intrascleral Intraocular Lens Fixation with the Double-Needle Technique for Cataract Luxation in the Vitreous Chamber during Phacoemulsification |
| title_full | Standardized Flanged Intrascleral Intraocular Lens Fixation with the Double-Needle Technique for Cataract Luxation in the Vitreous Chamber during Phacoemulsification |
| title_fullStr | Standardized Flanged Intrascleral Intraocular Lens Fixation with the Double-Needle Technique for Cataract Luxation in the Vitreous Chamber during Phacoemulsification |
| title_full_unstemmed | Standardized Flanged Intrascleral Intraocular Lens Fixation with the Double-Needle Technique for Cataract Luxation in the Vitreous Chamber during Phacoemulsification |
| title_short | Standardized Flanged Intrascleral Intraocular Lens Fixation with the Double-Needle Technique for Cataract Luxation in the Vitreous Chamber during Phacoemulsification |
| title_sort | standardized flanged intrascleral intraocular lens fixation with the double needle technique for cataract luxation in the vitreous chamber during phacoemulsification |
| url | http://dx.doi.org/10.1155/2021/9998482 |
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