Abstract

Purpose:To evaluate the results of intravitreal phacoemulsification with torsional hand piece in eyes with posteriorly dislocated lens fragments.Methods:In this prospective, interventional case series, 15 eyes with retained lens fragments following phacoemulsification were included. All patients underwent standard three-port pars plana vitrectomy and intravitreal phacoemulsification using sleeveless, torsional hand piece (OZiL™, Alcon's Infiniti Vision System). Patients were followed up for a minimum of six months to evaluate the visual outcomes and complications.Results:The preoperative best-corrected visual acuity (BCVA) ranged from light perception to 0.3. No complications such as thermal burns of the scleral wound, retinal damage due to flying lens fragments, or difficult lens aspiration occurred during intravitreal phacoemulsification. Mean post-operative BCVA at the final follow-up was 0.5. Two eyes developed cystoid macular edema, which was managed medically. No retinal detachment was noted.Conclusion:Intravitreal phacoemulsification using torsional hand piece is a safe and effective alternative to conventional longitudinal phacofragmentation.

Highlights

  • I complications such as thermal burns of the scleral wound, retinal damage due to flying lens fragments, or difficult lens aspiration occurred during intravitreal phacoemulsification

  • All eyes were followed up for a minimum of repulsive action on nuclear pieces, we conducted this six months following surgery with regards to study to evaluate the efficacy of torsional hand piece in best‐corrected visual acuity (BCVA), intraocular pressure (IOP) (Goldmann the management of posteriorly dislocated lens fragments. applanation tonometry), and spectral domain optical coherence tomography (SD‐OCT) to evaluate cystoid macular edema (CME)

  • Intravitreal phacoemulsification with torsional hand piece is a safe and effective technique for Torsional phacoemulsification is an innovative retained lens fragments. This can be incorporated into the technology which involves side‐to‐side movement of commercially available fragmatomes to make the results the phacoemulsification tip rather than conventional longitudinal movements.[6,7]

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Summary

Methods

Interventional case series, 15 eyes with retained lens fragments following phacoemulsification were included. All patients underwent standard three‐port pars plana vitrectomy and intravitreal phacoemulsification using sleeveless, torsional hand piece (OZiLTM, Alcon’s Infiniti Vision System). Patients were followed up for a minimum of six months to evaluate the visual outcomes and

Results
METHODS
DISCUSSION
Conflicts of Interest

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