Document Detail

Managing anterior capsule contraction by mechanical widening with vitrector-cut capsulotomy.
MedLine Citation:
PMID:  11821198     Owner:  NLM     Status:  MEDLINE    
We present a technique, vitrectorhexis, in which a vitrector-cut capsulotomy is used to treat anterior capsule contraction syndrome. A vitrector handpiece is used to remove all fibrous capsule tissue and residual lens epithelial cells from the anterior chamber. Vitrectorhexis may be an alternative to neodymium:YAG laser capsulotomy as it decreases the risk of radial tear extension to the zonules and of secondary IOL decentration. The technique was used in a 77-year-old man with capsulorhexis contraction syndrome and extensive fibrosis after phacoemulsification with silicone piggyback intraocular lens implantation. One day postoperatively, visual acuity improved from 20/60 to 20/30 and the anterior chamber reaction was minimal. At 1 month, best corrected visual acuity was 20/20. The IOL was well centered at 6 months.
Patrick C Yeh; Kenneth M Goins; Wico W Lai
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of cataract and refractive surgery     Volume:  28     ISSN:  0886-3350     ISO Abbreviation:  J Cataract Refract Surg     Publication Date:  2002 Feb 
Date Detail:
Created Date:  2002-01-31     Completed Date:  2002-03-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8604171     Medline TA:  J Cataract Refract Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  217-20     Citation Subset:  IM    
Department of Ophthalmology, The University of Chicago, Chicago, Illinois 60637, USA.
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MeSH Terms
Anterior Chamber
Capsulorhexis / adverse effects*
Contracture / etiology,  surgery*
Lens Capsule, Crystalline / pathology,  surgery*
Lens Implantation, Intraocular
Ophthalmologic Surgical Procedures*
Postoperative Complications / surgery*
Visual Acuity
Comment In:
J Cataract Refract Surg. 2003 Jan;29(1):8-9   [PMID:  12551654 ]
J Cataract Refract Surg. 2003 Sep;29(9):1652   [PMID:  14522276 ]

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