Modified intralenticular lens aspiration for novice surgeons
A 16-year-old woman with Marfan syndrome presented with corrected distance visual acuity 20/40 right eye and 20/25 left eye. On dilation, both eyes had superonasal subluxation of the crystalline lens. The right eye was planned for modified ILLA with scleral fixated intraocular lens (SFIOL) implantat...
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| creator | Kalra, Nidhi Bafna, Rahul Kumar Asif, Mohamed Ibrahime Sinha, Rajesh |
| description | A 16-year-old woman with Marfan syndrome presented with corrected distance visual acuity 20/40 right eye and 20/25 left eye. On dilation, both eyes had superonasal subluxation of the crystalline lens. The right eye was planned for modified ILLA with scleral fixated intraocular lens (SFIOL) implantation. lens aspiration (ILLA) has been described in patients with extensively subluxated crystalline lenses to achieve lens aspiration within the capsule, without any risk of lens matter falling posteriorly.1 2 The capsular bag is stabilised with the irrigation cannula’s aid, which brings the area of interest into the surgeon’s focus and hydrates the lens fibres, while the aspiration cannula performs the lens aspiration. [...]this technique is challenging for a beginner surgeon as it involves bimanual hand–eye coordination under the microscope and assessment of the appropriate amount of traction to be applied with the irrigation cannula in this manoeuvre. [...]the visibility of the surgical field is dependent on the surgeon’s hand movements and is not stable throughout the surgery. Haptic placement of posterior chamber intraocular lens in fibrin glue-assisted intrascleral fixation. |
| doi_str_mv | 10.1136/bcr-2021-243449 |
| format | Article |
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On dilation, both eyes had superonasal subluxation of the crystalline lens. The right eye was planned for modified ILLA with scleral fixated intraocular lens (SFIOL) implantation. lens aspiration (ILLA) has been described in patients with extensively subluxated crystalline lenses to achieve lens aspiration within the capsule, without any risk of lens matter falling posteriorly.1 2 The capsular bag is stabilised with the irrigation cannula’s aid, which brings the area of interest into the surgeon’s focus and hydrates the lens fibres, while the aspiration cannula performs the lens aspiration. [...]this technique is challenging for a beginner surgeon as it involves bimanual hand–eye coordination under the microscope and assessment of the appropriate amount of traction to be applied with the irrigation cannula in this manoeuvre. [...]the visibility of the surgical field is dependent on the surgeon’s hand movements and is not stable throughout the surgery. Haptic placement of posterior chamber intraocular lens in fibrin glue-assisted intrascleral fixation.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2021-243449</identifier><identifier>PMID: 34158334</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Anterior Chamber ; Case reports ; Cataracts ; Eye surgery ; Humans ; Images In ; Lens Implantation, Intraocular ; Lens, Crystalline ; Marfan syndrome ; Surgeons ; Surgical outcomes ; Surgical techniques</subject><ispartof>BMJ case reports, 2021-06, Vol.14 (6), p.e243449</ispartof><rights>BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2021 BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. 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Haptic placement of posterior chamber intraocular lens in fibrin glue-assisted intrascleral fixation.</description><subject>Anterior Chamber</subject><subject>Case reports</subject><subject>Cataracts</subject><subject>Eye surgery</subject><subject>Humans</subject><subject>Images In</subject><subject>Lens Implantation, Intraocular</subject><subject>Lens, Crystalline</subject><subject>Marfan syndrome</subject><subject>Surgeons</subject><subject>Surgical outcomes</subject><subject>Surgical techniques</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkc1LAzEQxYMoVrRnb7LgRYTVZJNuEhBBxC9QvCh4C0l2tqZsNzXZLfjfm9paqhfnkmHym8cbHkKHBJ8RQstzY0Ne4ILkBaOMyS20R_iI51zit-2NfoCGMU5wKkqYYHQXDSgjI0Ep20MXT75ytYMqc20XdANt52zf6JClNmY6zlzQnfNtVvuQtX7uLGSxD2PwbTxAO7VuIgxX7z56vb15ub7PH5_vHq6vHnPDCO5y0FaCMWXBsahKKw1nRgCtuC2FwQQkN5oZLiyrZE2pJQKYBaGxlGkMJd1Hl0vdWW-mUFn4tqpmwU11-FReO_X7p3XvauznShQFZmWRBE5WAsF_9BA7NXXRQtPoFnwfVTFijJWYC57Q4z_oxPehTectKCopl3Th6HxJ2eBjDFCvzRCsFuGoFI5ahKOW4aSNo80b1vxPFAk4XQJmOvlX7QtWHpjn</recordid><startdate>20210622</startdate><enddate>20210622</enddate><creator>Kalra, Nidhi</creator><creator>Bafna, Rahul Kumar</creator><creator>Asif, Mohamed Ibrahime</creator><creator>Sinha, Rajesh</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9949-3962</orcidid><orcidid>https://orcid.org/0000-0002-6795-0508</orcidid></search><sort><creationdate>20210622</creationdate><title>Modified intralenticular lens aspiration for novice surgeons</title><author>Kalra, Nidhi ; 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On dilation, both eyes had superonasal subluxation of the crystalline lens. The right eye was planned for modified ILLA with scleral fixated intraocular lens (SFIOL) implantation. lens aspiration (ILLA) has been described in patients with extensively subluxated crystalline lenses to achieve lens aspiration within the capsule, without any risk of lens matter falling posteriorly.1 2 The capsular bag is stabilised with the irrigation cannula’s aid, which brings the area of interest into the surgeon’s focus and hydrates the lens fibres, while the aspiration cannula performs the lens aspiration. [...]this technique is challenging for a beginner surgeon as it involves bimanual hand–eye coordination under the microscope and assessment of the appropriate amount of traction to be applied with the irrigation cannula in this manoeuvre. [...]the visibility of the surgical field is dependent on the surgeon’s hand movements and is not stable throughout the surgery. 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| subjects | Anterior Chamber Case reports Cataracts Eye surgery Humans Images In Lens Implantation, Intraocular Lens, Crystalline Marfan syndrome Surgeons Surgical outcomes Surgical techniques |
| title | Modified intralenticular lens aspiration for novice surgeons |
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