Completing phaco following anterior capsular tear
Identifieur interne : 001F38 ( Pmc/Checkpoint ); précédent : 001F37; suivant : 001F39Completing phaco following anterior capsular tear
Auteurs : Brian LittleSource :
- Saudi Journal of Ophthalmology [ 1319-4534 ] ; 2010.
Abstract
A primary tear-out of the capsulorrhexis or a later anterior capsule tear occurs in less than 1% of phacoemulsification procedures (
These are perilous conditions to face, but by using the right techniques the surgeon can still prevail. There is a clear set of principles that are based on self-knowledge of the surgeon’s own skills and experience, combined with their understanding of how to control the forces acting on the tear and the tolerances of the capsular bag to surgical manipulation.
Applying these principles in practice has enabled the development of a range of techniques now available to safely remove the nucleus under these challenging conditions. However, by far the most important principle of all is that if in doubt, not to proceed.
Url:
DOI: 10.1016/j.sjopt.2010.03.005
PubMed: 23960883
PubMed Central: 3729503
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Completing phaco following anterior capsular tear</title><author><name sortKey="Little, Brian" sort="Little, Brian" uniqKey="Little B" first="Brian" last="Little">Brian Little</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23960883</idno><idno type="pmc">3729503</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3729503</idno><idno type="RBID">PMC:3729503</idno><idno type="doi">10.1016/j.sjopt.2010.03.005</idno><date when="2010">2010</date><idno type="wicri:Area/Pmc/Corpus">002622</idno><idno type="wicri:Area/Pmc/Curation">002622</idno><idno type="wicri:Area/Pmc/Checkpoint">001F38</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Completing phaco following anterior capsular tear</title><author><name sortKey="Little, Brian" sort="Little, Brian" uniqKey="Little B" first="Brian" last="Little">Brian Little</name></author></analytic><series><title level="j">Saudi Journal of Ophthalmology</title><idno type="ISSN">1319-4534</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A primary tear-out of the capsulorrhexis or a later anterior capsule tear occurs in less than 1% of phacoemulsification procedures (<xref rid="bib8" ref-type="bibr">Marques et al., 2006</xref>). It is a relatively uncommon complication but a hazardous and important one, although comparatively little has been published on its management. With the nucleus still in the bag at this stage, the surgeon is faced with the sizeable challenge of completing surgery without propagating a wrap-around tear to the posterior capsule.</p><p>These are perilous conditions to face, but by using the right techniques the surgeon can still prevail. There is a clear set of principles that are based on self-knowledge of the surgeon’s own skills and experience, combined with their understanding of how to control the forces acting on the tear and the tolerances of the capsular bag to surgical manipulation.</p><p>Applying these principles in practice has enabled the development of a range of techniques now available to safely remove the nucleus under these challenging conditions. However, by far the most important principle of all is that if in doubt, not to proceed.</p></div></front></TEI><pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Saudi J Ophthalmol</journal-id><journal-id journal-id-type="iso-abbrev">Saudi J Ophthalmol</journal-id><journal-title-group><journal-title>Saudi Journal of Ophthalmology</journal-title></journal-title-group><issn pub-type="ppub">1319-4534</issn><publisher><publisher-name>Elsevier</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23960883</article-id><article-id pub-id-type="pmc">3729503</article-id><article-id pub-id-type="publisher-id">SJOPT33</article-id><article-id pub-id-type="doi">10.1016/j.sjopt.2010.03.005</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title>Completing phaco following anterior capsular tear</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Little</surname><given-names>Brian</given-names></name><email>brian.little@moorfields.nhs.uk</email></contrib></contrib-group><aff>Moorfields Eye Hospital NHS Foundation Trust, 162 City Road, London EC1V 2PD, UK</aff><pub-date pub-type="pmc-release"><day>4</day><month>4</month><year>2010</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub"><day>4</day><month>4</month><year>2010</year></pub-date><pub-date pub-type="ppub"><month>7</month><year>2010</year></pub-date><volume>24</volume><issue>3</issue><fpage>95</fpage><lpage>99</lpage><history><date date-type="received"><day>16</day><month>3</month><year>2010</year></date><date date-type="accepted"><day>16</day><month>3</month><year>2010</year></date></history><permissions><copyright-statement>© 2010 Production and hosting by Elsevier B.V. on behalf of King Saud University.</copyright-statement><copyright-year>2010</copyright-year><copyright-holder></copyright-holder></permissions><abstract><p>A primary tear-out of the capsulorrhexis or a later anterior capsule tear occurs in less than 1% of phacoemulsification procedures (<xref rid="bib8" ref-type="bibr">Marques et al., 2006</xref>). It is a relatively uncommon complication but a hazardous and important one, although comparatively little has been published on its management. With the nucleus still in the bag at this stage, the surgeon is faced with the sizeable challenge of completing surgery without propagating a wrap-around tear to the posterior capsule.</p><p>These are perilous conditions to face, but by using the right techniques the surgeon can still prevail. There is a clear set of principles that are based on self-knowledge of the surgeon’s own skills and experience, combined with their understanding of how to control the forces acting on the tear and the tolerances of the capsular bag to surgical manipulation.</p><p>Applying these principles in practice has enabled the development of a range of techniques now available to safely remove the nucleus under these challenging conditions. However, by far the most important principle of all is that if in doubt, not to proceed.</p></abstract><kwd-group><title>Keywords</title><kwd>Phacoemulsification</kwd><kwd>Anterior capsule tear</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Little, Brian" sort="Little, Brian" uniqKey="Little B" first="Brian" last="Little">Brian Little</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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