Open AccessPlanned posterior assisted levitation in severe subluxated cataract: Surgical technique and clinical results
Author(s) -
Tova Lifshitz,
Jaime Levy,
Assaf Kratz,
Nadav Belfair,
Erez Tsumi
Publication year - 2012
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.103801
Subject(s) - medicine , pars plana , subluxation , vitrectomy , ophthalmology , blunt , visual acuity , blunt trauma , surgery , traumatic cataract , cataract surgery , pseudoexfoliation syndrome , glaucoma , alternative medicine , pathology
We report the surgical technique and outcome of planned posterior assisted levitation (P-PAL) in four cases of subluxated cataract. P-PAL was planned as the preferred approach in all cases. A spatula was inserted via the pars plana, the whole lens was lifted to the anterior chamber and then removed through a scleral tunnel incision. Anterior chamber intraocular lenses were implanted in all cases. All four eyes had severe subluxation of the crystalline lenses with marked phacodonesis. Two eyes had history of blunt trauma, and the other two eyes had severe pseudoexfoliation with spontaneous lens subluxation. Follow-up ranged from 1 to 2 years in three cases. The postoperative visual acuity was 20/80 or better. No intraoperative complications were observed. In conclusion, the P-PAL technique was successfully performed during cataract surgery in four eyes with severe subluxated cataracts. There were no complications over the long-term follow-up.