Triamcinolone suspension is used to stain the vitreous that has prolapsed through a traumatic zonular dialysis and a dilated pupil. Managed with haptic rotation of the sensar ar40e so that the haptic is pushing the area of the dialysis. Surgical management of cases with zonular dialysis and. Pdf objective classification of zonular weakness based. Pdf handbook of dialysis download full pdf book download. Dialysis is a treatment that filters and purifies the blood using a machine. Zonular issues can complicate cataract surgery eyeworld. She recommended using a 3piece iol and places the haptic against the weak zonular area. Efficacy of a capsular tension ring for phacoemulsification in eyes with zonular dialysis.
Get a printable copy pdf file of the complete article 2. Surgery in the presence of a zonular dialysis can be a challenging situation for even the most experienced surgeon. Because of the sizable degree of prolapsed vitreous, a pars plana anterior vitrectomy is performed prior to the capsulorhexis. Small zonular dialysis managed with haptic rotation youtube. While the presence of zonular dialysis has commonly been reported in pseudoexfoliation syndrome pxf or trauma, studies reporting the incidence, and specifically visual outcomes, of zonular dialysis detected at cataract surgery are limited. Pig and cadaver eye models were used in this study. Pre existing zonular weakness congenital or acquired. In 5 eyes, severe phacodonesis was observed without obvious zonular dialysis. With how large a zonular dialysis can phaco be performed. Full text full text is available as a scanned copy of the original print version.
This helps keep your body in balance when the kidneys cant perform this function. Managing an intraoperative zonular dialysis is always challenging. In vitro evaluation of the capsular tension ring for managing zonular dialysis in cataract surgery. Surgical management of cases with zonular dialysis and subluxated cataracts the use of a capsular tension ring is helpful in these complicated cases. Small zonular dialysis happeded at the iol implantation. I read with interest the article by skuta and colleagues. Introduction whenever a zonular dialysis is encountered during cataract surgery, it means two things 1. Zonular dialysis, iridodialysis, and vitreous prolapse. This video demonstrates successful management of large intraoperative zonular dialysis in 2 patients 1. Handbook of dialysis available for download and read online in other formats. Skuta and associates noted a particular risk for large zonular dialysis during extracapsular.
The ability to perform small incision phacoemulsification with a zonular. Zonular dialysis in pseudoexfoliation syndrome jama. The zonular dialysis range was 90 to 180 degrees in 1 eye, 180 degrees in 4 eyes, and 180 to 270 degrees in 1 eye. Compartmentalizing the vitreous prolapse with a dispersive ovd prevents vitreous aspiration until the cortical aspiration stage.
902 173 55 26 395 1376 751 1351 502 563 105 1179 654 1150 94 1542 541 1299 453 439 1135 881 104 221 1255 1683 730 1272 172 1586 1675 268 1177 475 143 312 1454 906 197 1411 8 1216 1048