The kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision

Abstract We developed a new method to retrieve a dropped nucleus of the lens via a small incision using bipolar pencils, the kebab technique, to solve the lack of small-gauge fragmatomes, and the expense and toxicity of perfluorocarbon liquids (PFCL). A total of 8 eyes in 6 patients underwent this t...

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Autores principales: Hiroshi Aso, Harumasa Yokota, Hirotsugu Hanazaki, Satoru Yamagami, Taiji Nagaoka
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/24eaae03cb714a1a96c86178579b7bcc
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spelling oai:doaj.org-article:24eaae03cb714a1a96c86178579b7bcc2021-12-02T18:03:32ZThe kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision10.1038/s41598-021-87022-32045-2322https://doaj.org/article/24eaae03cb714a1a96c86178579b7bcc2021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-87022-3https://doaj.org/toc/2045-2322Abstract We developed a new method to retrieve a dropped nucleus of the lens via a small incision using bipolar pencils, the kebab technique, to solve the lack of small-gauge fragmatomes, and the expense and toxicity of perfluorocarbon liquids (PFCL). A total of 8 eyes in 6 patients underwent this technique and were reviewed. After vitrectomy, the dropped nucleus of the lens was lifted from the retina by adhesion with a bipolar pencil, and phacoemulsification was performed while rotating the lens. The outcome measures were best-corrected visual acuity (BCVA), intraocular pressure (IOP), and corneal endothelial cell density before and after surgery. Surgical indications included zonular weakness, trauma, acute angle closure attack, and phacolytic glaucoma. At 1 month, BCVA improved from a mean (standard deviation, SD) 1.67 logMAR (0.90) to 1.14 logMAR (1.01). The mean preoperative IOP was 24.5 (16.8) mmHg and postoperative IOP was 11.0 (2.8) mmHg. The mean preoperative corneal endothelial cell count was 2600 (322) cells/mm2 (one eye was unmeasurable) and postoperative corneal endothelial cell count was 2387 (431) cells/mm2. There were no postoperative complications. The retrieval of a dropped nucleus of the lens using a bipolar pencil enables small incisions without using PFCL.Hiroshi AsoHarumasa YokotaHirotsugu HanazakiSatoru YamagamiTaiji NagaokaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-5 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Hiroshi Aso
Harumasa Yokota
Hirotsugu Hanazaki
Satoru Yamagami
Taiji Nagaoka
The kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision
description Abstract We developed a new method to retrieve a dropped nucleus of the lens via a small incision using bipolar pencils, the kebab technique, to solve the lack of small-gauge fragmatomes, and the expense and toxicity of perfluorocarbon liquids (PFCL). A total of 8 eyes in 6 patients underwent this technique and were reviewed. After vitrectomy, the dropped nucleus of the lens was lifted from the retina by adhesion with a bipolar pencil, and phacoemulsification was performed while rotating the lens. The outcome measures were best-corrected visual acuity (BCVA), intraocular pressure (IOP), and corneal endothelial cell density before and after surgery. Surgical indications included zonular weakness, trauma, acute angle closure attack, and phacolytic glaucoma. At 1 month, BCVA improved from a mean (standard deviation, SD) 1.67 logMAR (0.90) to 1.14 logMAR (1.01). The mean preoperative IOP was 24.5 (16.8) mmHg and postoperative IOP was 11.0 (2.8) mmHg. The mean preoperative corneal endothelial cell count was 2600 (322) cells/mm2 (one eye was unmeasurable) and postoperative corneal endothelial cell count was 2387 (431) cells/mm2. There were no postoperative complications. The retrieval of a dropped nucleus of the lens using a bipolar pencil enables small incisions without using PFCL.
format article
author Hiroshi Aso
Harumasa Yokota
Hirotsugu Hanazaki
Satoru Yamagami
Taiji Nagaoka
author_facet Hiroshi Aso
Harumasa Yokota
Hirotsugu Hanazaki
Satoru Yamagami
Taiji Nagaoka
author_sort Hiroshi Aso
title The kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision
title_short The kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision
title_full The kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision
title_fullStr The kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision
title_full_unstemmed The kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision
title_sort kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/24eaae03cb714a1a96c86178579b7bcc
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