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

Figures & data

Figure 1 Drawing of the elastic silicone sheet.

Figure 2 Surgical procedure of a case with a subluxated lens. (A) One arm was inserted into the corneal side port using forceps. (B) The elastic silicone sheet (ESS) was inserted into the eye behind the subluxated lens through a 3-mm corneoscleral incision and zonular dialysis. (C) The other two ends of the arms were inserted through the corneal side ports. (D) Phacoemulsification and aspiration (PEA) was performed on the ESS. (E) After the PEA was completed, the two arms were dissected. (F, G) The remaining arm was caught and pulled out. (H) The ESS was easily removed through the corneoscleral incision.

Table 1 A Summary of the Patients

Case	Age	Sex	Laterality	Preop Lens Status	The Cause of Lens Dislocation/Subluxation	Comorbidities of the Eye	Preop BCVA	Postop BCVA
1	54	M	Left	A dislocated lens	Unknown	None	20/13	20/13
2	83	M	Left	A dislocated lens	Unknown	Glaucoma	HV	20/100
3	70	M	Right	A Subluxated lens	Unknown	Chorioretinal atrophy	20/500	20/200
4	69	M	Right	A dislocated lens	Unknown	Ocular hypertension	Unmeasurable due to dementia
5	41	F	Left	A Subluxated lens	Atopic disease	None	20/33	20/13
6	41	F	Right	A Subluxated lens	Atopic disease	None	20/16	20/13
7	89	F	Left	A Subluxated lens	Pseudoexfoliation syndrome	Chorioretinal atrophy	20/133	20/40
8	82	F	Left	A Subluxated lens	Pseudoexfoliation syndrome	None	20/40	20/20
9	72	F	Left	A Subluxated lens	Unknown	None	20/25	20/33
10	72	F	Right	A Subluxated lens	Unknown	None	20/1000	20/16
11	62	M	Right	A Subluxated lens	Unknown	Diabetic retinopathy	20/33	20/20