title: Retinal protection using a viscoadaptive viscoelastic agent during removal of a luxated crystalline lens by intravitreal phacoemulsification.
abstract: OBJECTIVE
  To report a method of retinal protection using a viscoadaptive viscoelastic agent during removal of a luxated crystalline lens by intravitreal phacoemulsification.
  
  
  METHODS
  Interventional case report.
  
  
  METHODS
  A 65-year-old man presented with a totally luxated crystalline lens in the vitreous cavity of the left eye. After total vitrectomy was performed, a viscoadaptive viscoelastic agent was applied over the retina and optic disk. Then the luxated lens was removed by intravitreal phacoemulsification. The lens dropped several times during the surgery but the thick viscoadaptive viscoelastic agent protected the posterior retina.
  
  
  RESULTS
  In two cases treated this way, no complications occurred at six months after surgery.
  
  
  CONCLUSIONS
  This method may be useful for protecting the retina from damage by a luxated crystalline lens and is less costly than perfluorocarbon liquid.
authors.affiliation: Ideta Eye Hospital, 1-35 Gofu-kumachi, Kumamoto 860-0035, Japan. hanemoto@tb3.so-net.ne.jp
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Hanemoto
authors.forename: Hidenao
authors.initials: H
authors.lastname: Ideta
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Kawasaki
mesh_terms: D000368:Aged; D005131:Eye Injuries / Q000517:prevention & control*; D006801:Humans; D006820:Hyaluronic Acid / Q000627:therapeutic use*; D007431:Intraoperative Complications / Q000517:prevention & control*; D007906:Lens Subluxation / Q000601:surgery*; D008297:Male; D018918:Phacoemulsification / Q000379:methods*; D012160:Retina / Q000293:injuries*; D014821:Vitrectomy
chemical_list: D006820:Hyaluronic Acid