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Intravitreal Triamcinolone–Illuminated Cataract Surgery for Patients With Dense Vitreous Hemorrhage

Intravitreal Triamcinolone–Illuminated Cataract Surgery for Patients With Dense Vitreous Hemorrhage Clinical Review & Education Surgical Technique Intravitreal Triamcinolone–Illuminated Cataract Surgery for Patients With Dense Vitreous Hemorrhage Atsuhiro Tanikawa, MD; Masayuki Horiguchi, MD Almost all cataract surgical procedures rely on phacoemulsifica- Here, we present a novel surgical technique, to our knowl- tion, which requires favorable lens visibility. Visibility can be nega- edge, in which triamcinolone acetonide is injected into the vitre- tively affected by various ocular pathologies including dense vitre- ous cavity before vitrectomy. In the absence of a red reflex, cata- ous hemorrhage. When the microscope light source reflects off the ract surgery is performed using the white reflex created by the light ocular fundus, the lens is transilluminated. In the presence of dense from the microscope reflecting off triamcinolone acetonide crys- vitreous hemorrhage, light cannot adequately reach the fundus, and talsinthevitreous.Thisallowsthecornea,anteriorchamber,iris,lens no red reflex is created. In these patients, vitrectomy and cataract nucleus, lens cortex, and posterior chamber to be easily viewed, po- surgery may be performed simultaneously (phacovitrectomy) but tentially improving the safety of cataract surgery in these patients. cataractsurgerycomplications,suchasnucleusdroporcornealdam- ThissurgicaltechniquewasreviewedandapprovedbytheFujita age, may lead to problems during vitrectomy. Health University institutional review board. This study adhered to Severalsurgicaltechniqueshavebeenusedtoalleviatetheprob- the Declaration of Helsinki tenets, and all patients provided http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

Intravitreal Triamcinolone–Illuminated Cataract Surgery for Patients With Dense Vitreous Hemorrhage

JAMA Ophthalmology , Volume 133 (1) – Jan 1, 2015

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Publisher
American Medical Association
Copyright
Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/jamaophthalmol.2014.3321
pmid
25211387
Publisher site
See Article on Publisher Site

Abstract

Clinical Review & Education Surgical Technique Intravitreal Triamcinolone–Illuminated Cataract Surgery for Patients With Dense Vitreous Hemorrhage Atsuhiro Tanikawa, MD; Masayuki Horiguchi, MD Almost all cataract surgical procedures rely on phacoemulsifica- Here, we present a novel surgical technique, to our knowl- tion, which requires favorable lens visibility. Visibility can be nega- edge, in which triamcinolone acetonide is injected into the vitre- tively affected by various ocular pathologies including dense vitre- ous cavity before vitrectomy. In the absence of a red reflex, cata- ous hemorrhage. When the microscope light source reflects off the ract surgery is performed using the white reflex created by the light ocular fundus, the lens is transilluminated. In the presence of dense from the microscope reflecting off triamcinolone acetonide crys- vitreous hemorrhage, light cannot adequately reach the fundus, and talsinthevitreous.Thisallowsthecornea,anteriorchamber,iris,lens no red reflex is created. In these patients, vitrectomy and cataract nucleus, lens cortex, and posterior chamber to be easily viewed, po- surgery may be performed simultaneously (phacovitrectomy) but tentially improving the safety of cataract surgery in these patients. cataractsurgerycomplications,suchasnucleusdroporcornealdam- ThissurgicaltechniquewasreviewedandapprovedbytheFujita age, may lead to problems during vitrectomy. Health University institutional review board. This study adhered to Severalsurgicaltechniqueshavebeenusedtoalleviatetheprob- the Declaration of Helsinki tenets, and all patients provided

Journal

JAMA OphthalmologyAmerican Medical Association

Published: Jan 1, 2015

References