TWENTY THREE GAUGE VITRECTOMY IN MANAGEMENT OF DROPPED NUCLEUS AFTER PHACOEMULSIFICATION | ||||
| Egyptian Journal of Clinical Ophthalmology | ||||
| Article 5, Volume 2, Issue 2, December 2019, Page 75-83 PDF (545.17 K) | ||||
| Document Type: Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations | ||||
| DOI: 10.21608/ejco.2019.162990 | ||||
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| Authors | ||||
| Abd Ellatif, E.1; Abd El-badie, M.1; Lashein, M.2; Abd El Karim, A.1 | ||||
| 1Ophthalmology dept., Faculty of Medicine, AL-Azhar Univ., Assuit, Egypt | ||||
| 2Ophthalmology dept, Faculty of Medicine, AL-Azhar Univ. Cairo, Egypt | ||||
| Abstract | ||||
| Purpose: To evaluate the use of 23 gauge pars plana vitrectomy in management of dropped nucleus after phacoemulsification by two different techniques according to dropped nucleus size and consistency. Patients and Methods: Thirty eyes of thirty patients with dropped nucleus during phacoemulsification divided into two groups; each group consists of fifteen eyes. Group < br />A includes 15 eyes performed using transconjunctival sutureless 23 gauge pars plana vitrectomy system with the use of PFCL and full removal of all dropped nuclear fragment by the vitreous cutter .Group B includes 15 eyes performed using transconjunctival suture less 23 gauge pars plana vitrectomy system with the use of PFCL and removal of some dropped nuclear fragment by the vitreous cutter while the others were removed through a limbal incision or scleral frown. Results: In group A we found that the mean VA was improved from 0.3 preoperatively to 0.3, 0.7 and 0.7 at 1st week, 3rdand 6 months postoperatively respectively. In group B we found that the mean VA was improved from 0.2 preoperatively to 1st week, 3rd and 6 months postoperatively respectively. In group A we found that the mean IOP was changed from 16 mmHg at the baseline to 19 mmHg, 17 mmHg and 16 mmHg at1st week, 3rd and 6 months postoperatively respectively. In group B we found that the mean IOP was changed from 18 mmHg at the baseline to 17 mmHg, 18 mmHg and 16 mmHg at 1st week, 3rd and 6 months postoperatively respectively. Conclusion: Twenty three gauge pars plana vitrectomy was successful in cases of dropped fragments or quadrants and being soft cataract, while if it was all of the nucleus we can minimize its size by the vitreous cutter, and removing the remaining parts through a limbal wound or scleral frown trying to preserve the sutureless procedure as possible. | ||||
| Keywords | ||||
| Pars plana vitrectomy; Dropped nucleus; Phacoemulsification | ||||
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