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Chandelier-assisted retroillumination for phacoemulsification in phacovitrectomy
Manish P Nagpal1, Sheetal A Mahuvakar1, Pranita Prakash Chaudhary1
1Department of Retina, Retina Foundation and Eye Research Clinic, Asopalav Eye Hospital, Ahmedabad, Gujarat, India.
Indian Journal of Ophthalmology
|July 25, 2018
Summary
Chandelier-assisted retroillumination enhances visualization during phacoemulsification in combined phacovitrectomy for eyes with poor fundal glow. This technique improves surgical outcomes and safety for complex cataract cases.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Poor fundal glow presents challenges in phacoemulsification during combined procedures.
- Posterior segment pathologies can significantly impair visualization.
Purpose of the Study:
- To describe chandelier-assisted retroillumination for phacoemulsification.
- To evaluate its efficacy in patients with poor fundal glow during combined phacovitrectomy.
Main Methods:
- Prospective observational study of 30 eyes undergoing combined phacoemulsification and 25G pars plana vitrectomy.
- Chandelier tip inserted via sclerotomy, later replaced with infusion cannula or endoilluminator.
- Included patients with posterior segment pathologies like vitreous hemorrhage and vitritis.
Main Results:
- Markedly enhanced red reflex during phacoemulsification in all cases.
- Successful continuous curvilinear capsulorhexis achieved without dye.
- Improved visual acuity with a median best-corrected visual acuity of 20/60 at 6 months.
- No intraoperative or postoperative complications reported.
Conclusions:
- Chandelier-assisted retroillumination is a safe and effective tool for combined phacovitrectomy.
- It overcomes challenges posed by poor red reflex in anterior segment surgery.
- No additional cannula port is required for chandelier insertion.
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