Modifications in cataract surgery for the morbidly obese patient.
We describe a standing phacoemulsification technique (SPT) with the patient in reverse Trendelenburg position (RTP) as a means of performing surgery in morbidly obese patients. These patients have elevated vitreous pressure, leading to a high rate of posterior capsule rupture and vitreous loss. The SPT with RTP normalizes vitreous pressure, facilitating cataract surgery.
Mansour
Ahmad M
AM
Department of Ophthalmology, American University of Beirut, Beirut, Lebanon. dr.ahmad@cyberia.net.lb
Al-Dairy
Mays
M
D006801:Humans; D009767:Obesity, Morbid / Q000150:complications*; D018918:Phacoemulsification / Q000379:methods*; D011187:Posture; D012189:Retrospective Studies