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Updated: May 9, 2026
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Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
Published on: September 16, 2022
Intraocular surgery in kyphosis: an easier approach
Karanjit S Kooner1, Felise M Barte
1Departments of Ophthalmology at University of Texas Southwestern Medical Center, USA.
Case Reports in Ophthalmology
|July 31, 2013
Summary
A novel corneal suture technique allows complex cataract surgery for patients with severe kyphosis who cannot recline. This method enables precise eye positioning, ensuring surgical safety and patient comfort during intraocular procedures.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Advanced kyphosis presents significant challenges for patient positioning during ophthalmic surgery.
- Traditional supine positioning is often impossible for these patients, leading to surgical difficulties.
Observation:
- A 49-year-old male patient with severe kyphosis and dense cataract could not recline beyond 40° from vertical.
- A single corneal retraction suture at the 6 o'clock position was used to achieve horizontal ocular rotation.
Findings:
- This maneuver facilitated complex cataract surgery in a patient with multiple comorbidities including prior glaucoma surgery, posterior synechiae, and a small pupil.
- The corneal suture allowed the eye to be rotated to any desired position, overcoming the limitations of patient immobility.
Implications:
- This technique offers a safe and effective solution for intraocular procedures in patients unable to assume a supine position.
- It minimizes patient discomfort, respiratory distress, and elevated intraocular pressure associated with extreme patient tilting.
