Novel approach for phacoemulsification during combined phacovitrectomy

Wael Ahmed Ewais, Ashraf Abdel Maqsoud Nossair, Lamia Samy Ali Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt Purpose: To evaluate the safety and efficacy of surgeon’s superior sitting position during temporal clear corneal incision (TCCI) phacoemulsific...

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Autores principales:	Ewais WA, Nossair AAM, Ali LS
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Clear corneal incisions temporal nasal horizontal superior surgically induced astigmatism Keratometric Astigmatism Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/5c1ecb8e006a4f4ebcec2ed33582b1ba
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spelling	oai:doaj.org-article:5c1ecb8e006a4f4ebcec2ed33582b1ba2021-12-02T00:37:22ZNovel approach for phacoemulsification during combined phacovitrectomy1177-5483https://doaj.org/article/5c1ecb8e006a4f4ebcec2ed33582b1ba2015-12-01T00:00:00Zhttps://www.dovepress.com/novel-approach-for-phacoemulsification-during-combined-phacovitrectomy-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Wael Ahmed Ewais, Ashraf Abdel Maqsoud Nossair, Lamia Samy Ali Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt Purpose: To evaluate the safety and efficacy of surgeon’s superior sitting position during temporal clear corneal incision (TCCI) phacoemulsification, with a 90° working angle, during combined phacovitrectomy. Methods: Prospective interventional case series were performed on 65 eyes of 63 patients. TCCI phacoemulsification was done in all cases (whether right or left eyes), while the surgeon was sitting superiorly to the operating table. Outcome measures included: Shift in sitting position, keratometric astigmatism, surgically induced astigmatism, posterior capsule integrity, and intraocular lens centration. Results: Phacoemulsification was performed completely in all cases (100%). Shift in position to temporal sitting position happened in two cases (3%). The keratometric astigmatism showed mean changes of 1.09 D (0.25–3.75 D) to 0.84 D (0.00–3.25 D) at 1 month, which remained stable at 6 months; 0.84 D (0.16–3.21 D). The surgically induced astigmatism was 0.25 DC (-0.50 to 1.0 DC) at 1 month, which stayed stable at 6 months; 0.25 D (-0.63 D to 0.98 D). Posterior capsular rupture occurred in one case (the second case) (1.5%). The intraocular lens was centered in all cases (100%). Conclusion: Superior sitting TCCI phacoemulsification, with a wide working angle, during combined phacovitrectomy proved safe and easy, without the burden of changing and disrupting the operative setting. The anatomical and optical outcomes were acceptable. Keywords: clear corneal incisions, temporal nasal horizontal superior, surgically induced astigmatism, keratometric astigmatism, superior sitting position, working angleEwais WANossair AAMAli LSDove Medical PressarticleClear corneal incisions temporal nasal horizontal superior surgically induced astigmatism Keratometric AstigmatismOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss Issue 1, Pp 2339-2344 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Clear corneal incisions temporal nasal horizontal superior surgically induced astigmatism Keratometric Astigmatism Ophthalmology RE1-994
spellingShingle	Clear corneal incisions temporal nasal horizontal superior surgically induced astigmatism Keratometric Astigmatism Ophthalmology RE1-994 Ewais WA Nossair AAM Ali LS Novel approach for phacoemulsification during combined phacovitrectomy
description	Wael Ahmed Ewais, Ashraf Abdel Maqsoud Nossair, Lamia Samy Ali Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt Purpose: To evaluate the safety and efficacy of surgeon’s superior sitting position during temporal clear corneal incision (TCCI) phacoemulsification, with a 90° working angle, during combined phacovitrectomy. Methods: Prospective interventional case series were performed on 65 eyes of 63 patients. TCCI phacoemulsification was done in all cases (whether right or left eyes), while the surgeon was sitting superiorly to the operating table. Outcome measures included: Shift in sitting position, keratometric astigmatism, surgically induced astigmatism, posterior capsule integrity, and intraocular lens centration. Results: Phacoemulsification was performed completely in all cases (100%). Shift in position to temporal sitting position happened in two cases (3%). The keratometric astigmatism showed mean changes of 1.09 D (0.25–3.75 D) to 0.84 D (0.00–3.25 D) at 1 month, which remained stable at 6 months; 0.84 D (0.16–3.21 D). The surgically induced astigmatism was 0.25 DC (-0.50 to 1.0 DC) at 1 month, which stayed stable at 6 months; 0.25 D (-0.63 D to 0.98 D). Posterior capsular rupture occurred in one case (the second case) (1.5%). The intraocular lens was centered in all cases (100%). Conclusion: Superior sitting TCCI phacoemulsification, with a wide working angle, during combined phacovitrectomy proved safe and easy, without the burden of changing and disrupting the operative setting. The anatomical and optical outcomes were acceptable. Keywords: clear corneal incisions, temporal nasal horizontal superior, surgically induced astigmatism, keratometric astigmatism, superior sitting position, working angle
format	article
author	Ewais WA Nossair AAM Ali LS
author_facet	Ewais WA Nossair AAM Ali LS
author_sort	Ewais WA
title	Novel approach for phacoemulsification during combined phacovitrectomy
title_short	Novel approach for phacoemulsification during combined phacovitrectomy
title_full	Novel approach for phacoemulsification during combined phacovitrectomy
title_fullStr	Novel approach for phacoemulsification during combined phacovitrectomy
title_full_unstemmed	Novel approach for phacoemulsification during combined phacovitrectomy
title_sort	novel approach for phacoemulsification during combined phacovitrectomy
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/5c1ecb8e006a4f4ebcec2ed33582b1ba
work_keys_str_mv	AT ewaiswa novelapproachforphacoemulsificationduringcombinedphacovitrectomy AT nossairaam novelapproachforphacoemulsificationduringcombinedphacovitrectomy AT alils novelapproachforphacoemulsificationduringcombinedphacovitrectomy
_version_	1718403621570215936

Novel approach for phacoemulsification during combined phacovitrectomy

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