Vitreous Prolapse

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Charles E. Hugkulstone - One of the best experts on this subject based on the ideXlab platform.

  • Intraoperative and early postoperative results of suction posterior capsulorhexis.
    Journal of cataract and refractive surgery, 2002
    Co-Authors: Charles E. Hugkulstone
    Abstract:

    To report the intraoperative complications and early postoperative visual results of suction posterior capsulorhexis (SPC). Ophthalmology department of a district general hospital, Kent, United Kingdom. This prospective observational study included all patients having phacoemulsification who required SPC as a planned procedure or because of posterior capsule tears (128 eyes of 122 patients). All patients were under the care of a single consultant. Intraoperative complications related to the SPC as well as postoperative complications and best corrected visual acuity (BCVA) in all cases and with best-case analysis (patients with preexisting ocular comorbidity excluded) were noted. Seven cases (5.5%) of Vitreous Prolapse occurred; none was specifically related to the SPC. A BCVA of 0.67 (6/9) or better was achieved in 94% of cases (100% of best cases). One retinal detachment (0.8%) occurred 8 months postoperatively that was successfully treated with no loss of BCVA. Suction posterior capsulorhexis had a low rate of intraoperative complications and did not adversely affect the early visual outcome.

  • Suction posterior capsulorhexis.
    Journal of cataract and refractive surgery, 1999
    Co-Authors: Charles E. Hugkulstone
    Abstract:

    A technique for creating a posterior capsulorhexis during phacoemulsification is presented. It can be used in cases with posterior capsule tears or opacities. The free edge of the capsule is grasped with suction using a 2 mL syringe and a 27 gauge Rycroft cannula introduced via the paracentesis. The edge is then manipulated to produce a continuous curvilinear opening in the posterior capsule. The combination of a closed eye plus the use of a viscoelastic agent in the anterior chamber and capsular bag minimizes the possibility of Vitreous Prolapse during the maneuver. Occlusion of the cannula tip by the posterior capsule reduces the risk of Vitreous aspiration. In-the-bag intraocular lens implantation is readily achieved.

Nancy M. Blank - One of the best experts on this subject based on the ideXlab platform.

Gangolf Sauder - One of the best experts on this subject based on the ideXlab platform.

  • Vitreous Prolapse and IOL dislocation during intravitreal injection of triamcinolone acetonide
    Graefe's Archive for Clinical and Experimental Ophthalmology, 2006
    Co-Authors: Robert F. Degenring, Gangolf Sauder
    Abstract:

    Background To report on procedure-related anterior segment complications during intravitreal injections. Methods In a prospective interventional case series, 614 eyes received a total of 723 intravitreal injections of about 20 mg triamcinolone acetonide (in 0.2 ml) after paracentesis and aqueous humor drainage for various indications. Results In three eyes (0.49% of all eyes) a Vitreous Prolapse occurred during the injection. In one eye, the Vitreous Prolapse was combined with dislocation of the intraocular lens (IOL). All three eyes were pseudophakic, showing an posterior capsule defect, and the IOL located in the ciliary sulcus. They were treated by translimbal vitrectomy, and one eye with reposition of the IOL. No other procedure-related postoperative complications were observed during injection or follow-up (7.8±7.1 months). Conclusions Intravitreal injections may cause a Vitreous Prolapse into the anterior chamber with or without IOL decentration or dislocation in predisposed eyes. Ophthalmologists should be aware of this possible complication and inform patients at risk.

  • Vitreous Prolapse and IOL dislocation during intravitreal injection of triamcinolone acetonide
    Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2005
    Co-Authors: Robert F. Degenring, Gangolf Sauder
    Abstract:

    Background To report on procedure-related anterior segment complications during intravitreal injections.

Lisa D. Mihora - One of the best experts on this subject based on the ideXlab platform.

Robert F. Degenring - One of the best experts on this subject based on the ideXlab platform.

  • Vitreous Prolapse and IOL dislocation during intravitreal injection of triamcinolone acetonide
    Graefe's Archive for Clinical and Experimental Ophthalmology, 2006
    Co-Authors: Robert F. Degenring, Gangolf Sauder
    Abstract:

    Background To report on procedure-related anterior segment complications during intravitreal injections. Methods In a prospective interventional case series, 614 eyes received a total of 723 intravitreal injections of about 20 mg triamcinolone acetonide (in 0.2 ml) after paracentesis and aqueous humor drainage for various indications. Results In three eyes (0.49% of all eyes) a Vitreous Prolapse occurred during the injection. In one eye, the Vitreous Prolapse was combined with dislocation of the intraocular lens (IOL). All three eyes were pseudophakic, showing an posterior capsule defect, and the IOL located in the ciliary sulcus. They were treated by translimbal vitrectomy, and one eye with reposition of the IOL. No other procedure-related postoperative complications were observed during injection or follow-up (7.8±7.1 months). Conclusions Intravitreal injections may cause a Vitreous Prolapse into the anterior chamber with or without IOL decentration or dislocation in predisposed eyes. Ophthalmologists should be aware of this possible complication and inform patients at risk.

  • Vitreous Prolapse and IOL dislocation during intravitreal injection of triamcinolone acetonide
    Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2005
    Co-Authors: Robert F. Degenring, Gangolf Sauder
    Abstract:

    Background To report on procedure-related anterior segment complications during intravitreal injections.