Open AccessSurgeon-controlled–endoillumination-guided irrigation and aspiration during combined 23-gauge sutureless vitrectomy and cataract surgery in eyes with poor fundus reflex
Author(s) -
Kyun-Hyung Kim,
Hee Jin Sohn,
Hyun Jai Song,
Dong Hoon Lee,
Dong Heun Nam
Publication year - 2010
Publication title -
journal of cataract and refractive surgery/journal of cataract and refractive surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 142
eISSN - 1873-4502
pISSN - 0886-3350
DOI - 10.1016/j.jcrs.2010.10.004
Subject(s) - medicine , vitrectomy , ophthalmology , surgery , cataract surgery , fundus (uterus) , visual acuity
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.