Hypersonic vitrectomy in intraoperative posterior capsular rupture with retained nuclear fragments

In our report, we present the hypersonic vitrectomy (Vitesse, Bausch and Lomb) being employed for anterior vitreous liquefaction and removal in posterior capsular rupture. The capsular tear with nucleus drop during conventional phacoemulsification was managed by vitrectomy using the hypersonic vitre...

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Main Authors: Dhivya Ashok Kumar, Amar Agarwal, Ashvin Agarwal, Asael Papour
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=2;spage=643;epage=647;aulast=Kumar
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author Dhivya Ashok Kumar
Amar Agarwal
Ashvin Agarwal
Asael Papour
author_facet Dhivya Ashok Kumar
Amar Agarwal
Ashvin Agarwal
Asael Papour
author_sort Dhivya Ashok Kumar
collection DOAJ
description In our report, we present the hypersonic vitrectomy (Vitesse, Bausch and Lomb) being employed for anterior vitreous liquefaction and removal in posterior capsular rupture. The capsular tear with nucleus drop during conventional phacoemulsification was managed by vitrectomy using the hypersonic vitrector after posterior-assisted levitation followed by intraocular lens (IOL) implantation. The minimal cortical and epinuclear lens particles in the anterior chamber and vitreous were also liquefied with a stoke length of 30 to 40 μm and aspirated via the Vitesse vitrectomy system. The same probe performs the vitrectomy and the nucleus removal. The postoperative period was uneventful with clear cornea, normal fundus, and 20/20 best-corrected visual acuity (BCVA). The hypersonic vitrectomy utilizes the ultrasound power of 29.5 kHz and a stoke length of 0 to 60 μm for liquefaction of the vitreous. It can be a safe alternative for vitrectomy and lens removal in a single setting.
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spelling doaj.art-06cfa8c16837433592026b8200a5858e2023-07-21T15:04:35ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892023-01-0171264364710.4103/ijo.IJO_1199_22Hypersonic vitrectomy in intraoperative posterior capsular rupture with retained nuclear fragmentsDhivya Ashok KumarAmar AgarwalAshvin AgarwalAsael PapourIn our report, we present the hypersonic vitrectomy (Vitesse, Bausch and Lomb) being employed for anterior vitreous liquefaction and removal in posterior capsular rupture. The capsular tear with nucleus drop during conventional phacoemulsification was managed by vitrectomy using the hypersonic vitrector after posterior-assisted levitation followed by intraocular lens (IOL) implantation. The minimal cortical and epinuclear lens particles in the anterior chamber and vitreous were also liquefied with a stoke length of 30 to 40 μm and aspirated via the Vitesse vitrectomy system. The same probe performs the vitrectomy and the nucleus removal. The postoperative period was uneventful with clear cornea, normal fundus, and 20/20 best-corrected visual acuity (BCVA). The hypersonic vitrectomy utilizes the ultrasound power of 29.5 kHz and a stoke length of 0 to 60 μm for liquefaction of the vitreous. It can be a safe alternative for vitrectomy and lens removal in a single setting.http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=2;spage=643;epage=647;aulast=Kumaranterior vitrectomyhypersonic vitrectomyintraoperative posterior capsular rupture retained nuclear fragments
spellingShingle Dhivya Ashok Kumar
Amar Agarwal
Ashvin Agarwal
Asael Papour
Hypersonic vitrectomy in intraoperative posterior capsular rupture with retained nuclear fragments
Indian Journal of Ophthalmology
anterior vitrectomy
hypersonic vitrectomy
intraoperative posterior capsular rupture retained nuclear fragments
title Hypersonic vitrectomy in intraoperative posterior capsular rupture with retained nuclear fragments
title_full Hypersonic vitrectomy in intraoperative posterior capsular rupture with retained nuclear fragments
title_fullStr Hypersonic vitrectomy in intraoperative posterior capsular rupture with retained nuclear fragments
title_full_unstemmed Hypersonic vitrectomy in intraoperative posterior capsular rupture with retained nuclear fragments
title_short Hypersonic vitrectomy in intraoperative posterior capsular rupture with retained nuclear fragments
title_sort hypersonic vitrectomy in intraoperative posterior capsular rupture with retained nuclear fragments
topic anterior vitrectomy
hypersonic vitrectomy
intraoperative posterior capsular rupture retained nuclear fragments
url http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=2;spage=643;epage=647;aulast=Kumar
work_keys_str_mv AT dhivyaashokkumar hypersonicvitrectomyinintraoperativeposteriorcapsularrupturewithretainednuclearfragments
AT amaragarwal hypersonicvitrectomyinintraoperativeposteriorcapsularrupturewithretainednuclearfragments
AT ashvinagarwal hypersonicvitrectomyinintraoperativeposteriorcapsularrupturewithretainednuclearfragments
AT asaelpapour hypersonicvitrectomyinintraoperativeposteriorcapsularrupturewithretainednuclearfragments