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162990

TWENTY THREE GAUGE VITRECTOMY IN MANAGEMENT OF DROPPED NUCLEUS AFTER PHACOEMULSIFICATION

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Last updated: 05 Jan 2025

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Abstract

Purpose: To evaluate the use of 23 gauge pars plana vitrectomy in management of dropped
nucleus after phacoemulsification by two different techniques according to dropped nucleus size
and consistency. Patients and Methods: Thirty eyes of thirty patients with dropped nucleus
during phacoemulsification divided into two groups; each group consists of fifteen eyes. Group < br />A includes 15 eyes performed using transconjunctival sutureless 23 gauge pars plana
vitrectomy system with the use of PFCL and full removal of all dropped nuclear fragment by the
vitreous cutter .Group B includes 15 eyes performed using transconjunctival suture less 23
gauge pars plana vitrectomy system with the use of PFCL and removal of some dropped
nuclear fragment by the vitreous cutter while the others were removed through a limbal incision
or scleral frown. Results: In group A we found that the mean VA was improved from 0.3
preoperatively to 0.3, 0.7 and 0.7 at 1st week, 3rdand 6 months postoperatively respectively. In
group B we found that the mean VA was improved from 0.2 preoperatively to 1st week, 3rd and
6 months postoperatively respectively. In group A we found that the mean IOP was changed
from 16 mmHg at the baseline to 19 mmHg, 17 mmHg and 16 mmHg at1st week, 3rd and 6
months postoperatively respectively. In group B we found that the mean IOP was changed from
18 mmHg at the baseline to 17 mmHg, 18 mmHg and 16 mmHg at 1st week, 3rd and 6 months
postoperatively respectively. Conclusion: Twenty three gauge pars plana vitrectomy was
successful in cases of dropped fragments or quadrants and being soft cataract, while if it was all
of the nucleus we can minimize its size by the vitreous cutter, and removing the remaining parts
through a limbal wound or scleral frown trying to preserve the sutureless procedure as possible.

DOI

10.21608/ejco.2019.162990

Keywords

Pars Plana Vitrectomy, Dropped nucleus, Phacoemulsification

Authors

First Name

Abd Ellatif,

Last Name

E.

MiddleName

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Affiliation

Ophthalmology dept., Faculty of Medicine, AL-Azhar Univ., Assuit, Egypt

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First Name

Abd El-badie,

Last Name

M.

MiddleName

-

Affiliation

Ophthalmology dept., Faculty of Medicine, AL-Azhar Univ., Assuit, Egypt

Email

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City

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Orcid

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First Name

Lashein,

Last Name

M.

MiddleName

-

Affiliation

Ophthalmology dept, Faculty of Medicine, AL-Azhar Univ. Cairo, Egypt

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Orcid

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First Name

Abd El Karim,

Last Name

A.

MiddleName

-

Affiliation

Ophthalmology dept., Faculty of Medicine, AL-Azhar Univ., Assuit, Egypt

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Orcid

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Volume

2

Article Issue

2

Related Issue

23739

Issue Date

2019-12-01

Receive Date

2019-08-02

Publish Date

2019-12-01

Page Start

75

Page End

83

Print ISSN

2537-0502

Online ISSN

2537-0944

Article File

EJCO_Volume 2_Issue 2_Pages 75-83.pdf

PDF . 558.3kB

Link

https://ejco.journals.ekb.eg/article_162990.html

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https://ejco.journals.ekb.eg/service?article_code=162990

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Type

Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Type Code

1,824

Publication Type

Journal

Publication Title

Egyptian Journal of Clinical Ophthalmology

Publication Link

https://ejco.journals.ekb.eg/

MainTitle

TWENTY THREE GAUGE VITRECTOMY IN MANAGEMENT OF DROPPED NUCLEUS AFTER PHACOEMULSIFICATION

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Article

Created At

23 Jan 2023