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Related Experiment Videos

Vitreous touch after phacoemulsification

R A Schimek

    Annals of Ophthalmology
    |November 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    An intact anterior vitreous face touching the cornea after phacoemulsification can cause corneal edema. Prompt treatment, especially pars plana anterior vitrectomy, effectively resolves this complication.

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    Area of Science:

    • Ophthalmology
    • Surgical Complications
    • Corneal Edema

    Background:

    • Phacoemulsification, a common cataract surgery, involves creating an opening in the posterior capsule.
    • An intact anterior vitreous face can prolapse through large posterior capsule openings.
    • Vitreous contact with the corneal endothelium can lead to corneal edema.

    Observation:

    • Three cases presented with corneal edema following phacoemulsification.
    • The corneal edema was attributed to an intact anterior vitreous face touching the corneal endothelium.
    • Delayed recognition of vitreous touch occurred in one case due to severe edema.

    Findings:

    • Various methods were used to address the vitreous touch, all resulting in prompt clearing of corneal edema.
    • Pars plana anterior vitrectomy was the most effective treatment.

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  • Medical management with 4% cocaine was the least predictable.

    • Implications:

    • This complication, though uncommon, highlights the importance of recognizing and managing anterior vitreous face contact with the cornea.
    • Effective management strategies, particularly pars plana anterior vitrectomy, can restore corneal clarity.
    • Surgeons should be vigilant for this complication, especially after posterior capsule compromise.