Closed-Chamber Anterior Capsulorhexis Under Air Tamponade In White Cataract

Alahmady H Alsmman, Amr Mounir, Khulood M Sayed, Engy M Mostafa Department of Ophthalmology, Faculty of Medicine, Sohag University, Sohag, EgyptCorrespondence: Amr MounirDepartment of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag 82524, EgyptTel +20 10 0502 6170Email dramrmonir@y...

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Autores principales:	Alsmman AH, Mounir A, Sayed KM, Mostafa EM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Air tamponade White cataract Intumescent cataract Phacoemulsifi-cation Capsulorhexis Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/91d6f17789f74a83b5df2b8d345d449f
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spelling	oai:doaj.org-article:91d6f17789f74a83b5df2b8d345d449f2021-12-02T04:49:35ZClosed-Chamber Anterior Capsulorhexis Under Air Tamponade In White Cataract1177-5483https://doaj.org/article/91d6f17789f74a83b5df2b8d345d449f2019-10-01T00:00:00Zhttps://www.dovepress.com/closed-chamber-anterior-capsulorhexis-under-air-tamponade-in-white-cat-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Alahmady H Alsmman, Amr Mounir, Khulood M Sayed, Engy M Mostafa Department of Ophthalmology, Faculty of Medicine, Sohag University, Sohag, EgyptCorrespondence: Amr MounirDepartment of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag 82524, EgyptTel +20 10 0502 6170Email dramrmonir@yahoo.comPurpose: To evaluate the efficacy and safety of a closed-chamber air bubble capsulotomy technique to prevent the Argentinean flag sign (AFS) in patients with white and intumescent cataracts.Setting: Sohag University, Faculty of Medicine, Ophthalmology Department, Sohag, Egypt.Design: Prospective interventional noncomparative case series.Methods: Eighty-two eyes of 80 patients with white and intumescent cataracts were included. Eyes with any ocular pathology other than cataract or eyes subjected to previous intraocular surgery were excluded. Needle capsulorhexis was performed under a large air bubble tamponade without capsular staining. Efficacy of the technique was assessed intraoperatively by successful completion of capsulorhexis. Safety of the technique was assessed by the occurrence of intraoperative or postoperative complications.Results: Complete capsulorhexis by the closed-chamber air bubble technique was successful in 75 eyes (91.5%), while capsulorhexis extension occurred in seven eyes. In four eyes with extension, the procedure was shifted to the standard technique of CCC (circular curvilinear capsulorhexis), using a viscoelastic device. A shift to extracapsular cataract extraction (ECCE) surgery occurred in the remaining three eyes, as the extension was so far-gone. No intraoperative or postoperative complications were observed.Conclusion: The closed anterior chamber air bubble technique for capsulorhexis is a novel, safe, and effective technique to prevent AFS in white and intumescent cataracts. It is also time-saving and cost-effective, with less likelihood of capsulorhexis extension. The technique is considered a valuable addition to previously described techniques.Keywords: air tamponade, white cataract, intumescent cataract, phacoemulsification, capsulorhexisAlsmman AHMounir ASayed KMMostafa EMDove Medical PressarticleAir tamponadeWhite cataractIntumescent cataractPhacoemulsifi-cationCapsulorhexisOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 2053-2057 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Air tamponade White cataract Intumescent cataract Phacoemulsifi-cation Capsulorhexis Ophthalmology RE1-994
spellingShingle	Air tamponade White cataract Intumescent cataract Phacoemulsifi-cation Capsulorhexis Ophthalmology RE1-994 Alsmman AH Mounir A Sayed KM Mostafa EM Closed-Chamber Anterior Capsulorhexis Under Air Tamponade In White Cataract
description	Alahmady H Alsmman, Amr Mounir, Khulood M Sayed, Engy M Mostafa Department of Ophthalmology, Faculty of Medicine, Sohag University, Sohag, EgyptCorrespondence: Amr MounirDepartment of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag 82524, EgyptTel +20 10 0502 6170Email dramrmonir@yahoo.comPurpose: To evaluate the efficacy and safety of a closed-chamber air bubble capsulotomy technique to prevent the Argentinean flag sign (AFS) in patients with white and intumescent cataracts.Setting: Sohag University, Faculty of Medicine, Ophthalmology Department, Sohag, Egypt.Design: Prospective interventional noncomparative case series.Methods: Eighty-two eyes of 80 patients with white and intumescent cataracts were included. Eyes with any ocular pathology other than cataract or eyes subjected to previous intraocular surgery were excluded. Needle capsulorhexis was performed under a large air bubble tamponade without capsular staining. Efficacy of the technique was assessed intraoperatively by successful completion of capsulorhexis. Safety of the technique was assessed by the occurrence of intraoperative or postoperative complications.Results: Complete capsulorhexis by the closed-chamber air bubble technique was successful in 75 eyes (91.5%), while capsulorhexis extension occurred in seven eyes. In four eyes with extension, the procedure was shifted to the standard technique of CCC (circular curvilinear capsulorhexis), using a viscoelastic device. A shift to extracapsular cataract extraction (ECCE) surgery occurred in the remaining three eyes, as the extension was so far-gone. No intraoperative or postoperative complications were observed.Conclusion: The closed anterior chamber air bubble technique for capsulorhexis is a novel, safe, and effective technique to prevent AFS in white and intumescent cataracts. It is also time-saving and cost-effective, with less likelihood of capsulorhexis extension. The technique is considered a valuable addition to previously described techniques.Keywords: air tamponade, white cataract, intumescent cataract, phacoemulsification, capsulorhexis
format	article
author	Alsmman AH Mounir A Sayed KM Mostafa EM
author_facet	Alsmman AH Mounir A Sayed KM Mostafa EM
author_sort	Alsmman AH
title	Closed-Chamber Anterior Capsulorhexis Under Air Tamponade In White Cataract
title_short	Closed-Chamber Anterior Capsulorhexis Under Air Tamponade In White Cataract
title_full	Closed-Chamber Anterior Capsulorhexis Under Air Tamponade In White Cataract
title_fullStr	Closed-Chamber Anterior Capsulorhexis Under Air Tamponade In White Cataract
title_full_unstemmed	Closed-Chamber Anterior Capsulorhexis Under Air Tamponade In White Cataract
title_sort	closed-chamber anterior capsulorhexis under air tamponade in white cataract
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/91d6f17789f74a83b5df2b8d345d449f
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Closed-Chamber Anterior Capsulorhexis Under Air Tamponade In White Cataract

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