Surgeon-controlled-endoillumination-guided irrigation and aspiration during combined 23-gauge sutureless vitrectomy and cataract surgery in eyes with poor fundus reflex.
We describe a surgeon-controlled-endoillumination-guided irrigation and aspiration (I/A) technique that can be used to polish the posterior capsule during combined 23-gauge sutureless vitrectomy and cataract surgery in eyes with a poor red fundus reflex. In a dark room with the microscope light turned off, the surgeon holds and controls a 23-gauge endoilluminator with the left hand to achieve better retroillumination during I/A. Using surgeon-controlled endoillumination, it is possible to follow and guide the posterior capsule area undergoing I/A. The excellent visibility of the posterior capsule facilitates posterior capsule polishing with no intraoperative complications.
Department of Ophthalmology, Gachon University Gil Hospital, Incheon, Korea.
Kyun-Hyung
KH
Kim
Hee Jin
HJ
Sohn
Hyun Jai
HJ
Song
Dae Young
DY
Lee
Dong Heun
DH
Nam
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000150:complications; D004322:Drainage / Q000379:methods*; D006801:Humans; D008029:Lighting; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D018918:Phacoemulsification / Q000379:methods*; D012025:Reflex, Pupillary; D013536:Suture Techniques; D007507:Therapeutic Irrigation / Q000379:methods*; D014821:Vitrectomy / Q000379:methods*; D014823:Vitreous Hemorrhage / Q000150:complications; D055815:Young Adult