Limbal Approach Phacovitrectomy to Treat Cataract with Clinically Significant Asteroid Hyalosis—Presentation of the Technique and Preliminary Results

Purpose: To assess preliminarily the efficacy and safety of a relatively new surgical modification of phacovitrectomy in eyes with cataract and visually significant asteroid hyalosis (AH). Materials and methods: Prospective, noncomparative, interventional case series of six eyes of six patients (mea...

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Bibliographic Details
Published in:Journal of clinical medicine 2021-07, Vol.10 (15), p.3338
Main Authors: Rozegnał-Madej, Agnieszka, Wlaź, Aleksandra, Żarnowski, Tomasz
Format: Article
Language:English
Subjects:
Adhesion
Cataracts
Clinical medicine
Clinical significance
Diabetic retinopathy
Edema
Eye surgery
Glaucoma
Inflammation
Laboratories
Retina
Retinal detachment
Statistical analysis
Surgeons
Surgical techniques
Variance analysis
Viscoelasticity
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Summary:Purpose: To assess preliminarily the efficacy and safety of a relatively new surgical modification of phacovitrectomy in eyes with cataract and visually significant asteroid hyalosis (AH). Materials and methods: Prospective, noncomparative, interventional case series of six eyes of six patients (mean age 75.6 years; 1 woman, 5 men) with cataract and visually significant AH treated with a novel surgical technique—a phacoemulsification with anterior vitrectomy through posterior capsulorhexis and intraocular lens (IOL) implantation. Main outcome measures were: best-corrected visual acuity (BCVA), intraocular pressure (IOP), IOL centration, complications. Mean follow-up was 39.17 ± 4.31 months. Results: The mean BCVA (Snellen) improved from 0.26 ± 0.18 to 0.73 ± 0.33 at the end of the follow-up. IOP was in the normal range, and no problems with IOL fixation were observed at the end of the follow-up. No post-operative complications, retinal detachment, retinal tears, macular edema or prolonged inflammation were observed. Conclusions: The presented new surgical technique seems to be a safe and efficacious method to treat cataract with visually significant asteroid hyalosis.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm10153338