Phacoemulsification in a patient with marked cervical kyphosis.
A patient with long-standing ankylosing spondylitis and chronic uveitis needed cataract extraction in his only eye. Extensive spinal deformities, including cervical kyphosis, prevented him from being positioned satisfactorily for surgery using a routine head-end or temporal position for the surgeon. The best possible position for surgery was achieved using an orthopedic operating table, which allowed the patient's head to be reclined to a position of 60 degrees to the horizontal. Successful combined phacoemulsification and trabeculectomy was then performed, although the angle of approach for the surgeon and the operating microscope was awkward.
Prasad
S
S
Department of Ophthalmology, Arrowe Park Hospital, Wirral, United Kingdom. S.Prasad@Sheffield.ac.uk
Kamath
G G
GG
Phillips
R P
RP
D000328:Adult; D002386:Cataract / Q000150:complications*; D002574:Cervical Vertebrae; D004867:Equipment Design; D006801:Humans; D007738:Kyphosis / Q000150:complications* / Q000209:etiology; D008297:Male; D009873:Operating Rooms / Q000600:supply & distribution; D017060:Patient Satisfaction; D018918:Phacoemulsification / Q000379:methods*; D011187:Posture; D013167:Spondylitis, Ankylosing / Q000150:complications