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. 2023 Aug 1;43(8):1417-1419.
doi: 10.1097/IAE.0000000000003048. Epub 2023 Jul 20.

A New Technique of Pars Plana Vitrectomy With Microinterventional Nucleus Disassembly to Reduce the Energy of Fragmatome Lensectomy for Posteriorly Dislocated Crystalline Lens Removal

Jorge A Jimenez  1 , Fatoumata Yanoga, Matthew P Ohr
Affiliations

A New Technique of Pars Plana Vitrectomy With Microinterventional Nucleus Disassembly to Reduce the Energy of Fragmatome Lensectomy for Posteriorly Dislocated Crystalline Lens Removal

Jorge A Jimenez et al. Retina. .

Abstract

Purpose: To describe a novel technique of lens disassembly in posteriorly dislocated crystalline lens removal.

Methods: A microinterventional microfilament loop device was introduced through the sclerotomy created for the fragmatome to cleave the lens into smaller, manageable pieces.

Results: Five cases were performed with this technique with improved visual acuity and no complications.

Conclusion: The use of microinterventional nucleus disassembly during pars plana vitrectomy for retained lens material is a novel approach with potential advantages including decreased operating time and reduced complications secondary to excessive production of ultrasound energy.

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Conflict of interest statement

None of the authors has any financial/conflicting interests to disclose.

Figures

Fig. 1.
Fig. 1.
The Zeiss miLOOP device.
Fig. 2.
Fig. 2.
This image demonstrates the setup for use of miLOOP. In this case, a scleral fixated lens was planned with 4-point fixation. A. The miLOOP is placed through the sclerotomy. B. Vitrector is placed through the trocar (C) an assistant places the light pipe through the inferior sclerotomy.
Fig. 3.
Fig. 3.
The lens is directed into the opening of the miLOOP.
Fig. 4.
Fig. 4.
The loop is closed, and the lens is cleaved.
See this image and copyright information in PMC

References

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