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. 2016 Aug;30(8):1123-5.
doi: 10.1038/eye.2016.112. Epub 2016 Jun 3.

Chandelier retroillumination-assisted cataract surgery during vitrectomy

S Bilgin  1 , O Kayikcioglu  2
Affiliations

Chandelier retroillumination-assisted cataract surgery during vitrectomy

S Bilgin et al. Eye (Lond). 2016 Aug.

Abstract

PurposeTo present an alternative cataract surgical technique in patients with cataract and intravitreal hemorrhage.MethodsTwelve cases with poor fundus reflex caused by severe vitreus hemorrhage were included in the study. All patients underwent combined phaco surgery and 23-gauge vitrectomy. Chandelier retroillumination was inserted into the infusion trochar during the cataract operations and was used with low power (50-75%) in necessary steps.ResultsWe did not experience phaco complications or complications due to technique during surgery. Retroillumination assistance was especially useful during final stages of cataract surgery, particularly irrigation-aspiration of cortical material.ConclusionRetroillumination in absence of red fundus reflex may be helpful and can be practiced more often in cataract surgery combined with vitrectomy.

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Figures

Figure 1
Figure 1
(a) Phacoemulsification with retroillumination and microscope lights—on. (b) Phacoemulsification with microscope lights off/only retroillumination. (c) I/A and posterior capsule polishing under retroillumination.
See this image and copyright information in PMC

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