Retrolental cohesive ophthalmic viscoelastic injection for severe subluxated cataracts: a prospective study

• Published in: International journal of retina and vitreous 2024-09, Vol.10 (1), p.66-6, Article 66
• Main Authors: Iannetta, Danilo, Romano, Vito, Valsecchi, Nicola, Grendele, Arianna, Febbraro, Simone, Marenco, Marco, Moramarco, Antonio, Lambiase, Alessandro, Fontana, Luigi
• Format: Article
• Language: English
• Subjects: Cataract surgery; Complicated cataract surgery; Prospective study; Subluxated cataract; Surgical technique
• ISSN: 2056-9920; 2056-9920
• DOI: 10.1186/s40942-024-00583-z

To assess anatomical and functional outcomes of retrolental cohesive ophthalmic viscoelastic injection ("Viscolift technique") in patients with severely subluxated cataracts. In the present prospective study, we included patients older than 18 years with severely subluxated cataracts and phacodonesis. Full medical history was obtained at the baseline ophthalmological assessment. A single 25-gauge valved trocar was inserted 4 mm from the limbus and a 27G angled cannula was introduced through the trocar into the retrolental space, while cohesive viscoelastic was progressively injected, in order to center and elevate the cataract to facilitate capsulorhexis. After complete phacoemulsification, a 3-piece intraocular lens (IOL) with a scleral fixated Cionni ring or FIL-SSF scleral fixated IOL was implanted. Patients follow-up interval was 6 months after surgery. Thirteen eyes of 13 patients were enrolled in the study, mean age was 61.5 ± 9.4 years and 53.8% were females. The "Viscolift technique" resulted in centered and more stable cataracts in all cases (100%). After complete phacoemulsification, 61.5% of patients were implanted with a 3-piece IOL with Cionni ring, and 38.5% with a FIL-SSF scleral fixated IOL after complete 25G vitrectomy. Mean BCVA improved from 0.5 ± 0.1 LogMar (20/63 Snellen) to 0.1 ± 0.1 LogMar (20/25 Snellen) (p