Limited pars-plana vitrectomy for optimizing surgical outcome in subluxated cataracts undergoing femtosecond laser-assisted cataract surgery

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dc.contributor.authorSachdev, Mahipal Sen_US
dc.contributor.authorGupta, Avnindraen_US
dc.contributor.authorGupta, Hemlataen_US
dc.contributor.authorSachdev, Gitansha Shreyasen_US
dc.contributor.authorMalik, Raghaven_US
dc.contributor.authorSachdev, Ritikaen_US
dc.date.accessioned2023-08-25T06:32:05Z
dc.date.available2023-08-25T06:32:05Z
dc.date.issued2022-02
dc.description.abstractWe propose a technique for combined femto laser?assisted cataract surgery (FLACS) and limited vitrectomy from the pars?plana site for optimization of surgical results in subluxated cataracts. FLACS creates a free?floating, customised capsulotomy, minimizes stress on compromised zonules, and prechops the nucleus, effectively reducing the ultrasonic power as well as the forces required to chop the nucleus. The area of zonular dehiscence creates a direct communication between the irrigation fluid and the anterior vitreous, leading to its hydration. Trans?limbal vitrectomy creates a continuum between the liquefied vitreous and the main wound, leading to further vitreous loss, and exaggeration of the zonular weakness, while pars?plana vitrectomy avoids this by cutting the liquefied vitreous, near its attachment, thereby preventing further hydration and causing lesser stress to the zonules. A combination of these procedures, along with a capsule support device, gives favorable surgical outcomes in moderate to severe subluxations.en_US
dc.identifier.affiliationsDepartment of Cataract and Refractive Surgical Sciences, Centre for Sight, New Delhi, Indiaen_US
dc.identifier.affiliationsDepartment of Vitreo-Retinal Surgical Sciences, Centre For Sight, New Delhi, Indiaen_US
dc.identifier.affiliationsDepartment of Cataract and Refractive Surgical Sciences, The Eye Foundation, Coimbatore, Tamil Nadu, Indiaen_US
dc.identifier.citationSachdev Mahipal S, Gupta Avnindra, Gupta Hemlata, Sachdev Gitansha Shreyas, Malik Raghav, Sachdev Ritika. Limited pars-plana vitrectomy for optimizing surgical outcome in subluxated cataracts undergoing femtosecond laser-assisted cataract surgery. Indian Journal of Ophthalmology. 2022 Feb; 70(2): 658-661en_US
dc.identifier.issn1998-3689
dc.identifier.issn0301-4738
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/224161
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber2en_US
dc.relation.volume70en_US
dc.source.urihttps://doi.org/10.4103/ijo.IJO_1636_21en_US
dc.subjectFemtosecond laser?assisted cataract surgeryen_US
dc.subjectFLACSen_US
dc.subjectpars?plana vitrectomyen_US
dc.subjectsubluxated cataracten_US
dc.titleLimited pars-plana vitrectomy for optimizing surgical outcome in subluxated cataracts undergoing femtosecond laser-assisted cataract surgeryen_US
dc.typeJournal Articleen_US
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