Factory-Made Elastic Silicone Sheet as an Alternative for the Posterior Capsule of the Lens During Phacoemulsification for Dislocated/Subluxated Lenses

Abstract

Background

We previously reported a novel technique using an elastic silicone bowl, which was handmade from a phaco test chamber, to salvage dislocated lenses and perform phacoemulsification and aspiration (PEA) on the bowl. However, creating the bowl was challenging.

Methods

A factory-made elastic silicone sheet (ESS), a ready-to-use alternative for the posterior capsule of the lens, was prepared. We used this sheet to salvage and support the dislocated/subluxated lenses in 11 eyes of nine patients.

Results

We could use a sheet immediately after we opened the package. In all the cases, we could insert a sheet beneath the lens and PEA performed at the center of the operative field. There was only one incident where the lens could not be placed onto the disc at the first attempt, but the lens was eventually salvaged. There was no risk of rupture during PEA, and the ESS could be removed completely without any complications.

Conclusion

The factory-made ESS described here can be used for salvaging dislocated/subluxated lenses and safely performing PEA.

Keywords:

• lens dislocation
• perfluorocarbon
• alternative posterior capsule of the lens

Acknowledgment

All authors made substantial contributions to conception and design, acquisition of data, or analysis and interpretation of data; took part in drafting the article or revising it critically for important intellectual content; agreed to submit to the current journal; gave final approval of the version to be published; and agree to be accountable for all aspects of the work. The 42nd Annual Meeting of the Japanese Society of Ophthalmic Surgery, Yokohama, Japan, February 2019.

Disclosure

M. Akimoto is a consultant for Kowa Co. Ltd. The authors report no other conflicts of interest in this work.

Additional information

Funding

Materials were provided by Kono Seisakusho Co., Ltd, Tokyo.