Sutureless single-port transconjunctival pars plana limited vitrectomy combined with phacoemulsification for management of phacomorphic glaucoma

• Published in: Journal of cataract and refractive surgery Vol. 33; no. 6; pp. 951 - 954
• Main Authors: Dada, Tanuj, MD, Kumar, Sanjeev, MBBS, Gadia, Ritu, MD, DNB, Aggarwal, Anand, MD, Gupta, Viney, MD, Sihota, Ramanjit, MD, FRCS
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.06.2007; Elsevier Science
• Subjects: Anterior Chamber - diagnostic imaging; Anterior Chamber - pathology; Biological and medical sciences; Conjunctiva - surgery; Female; Glaucoma and intraocular pressure; Glaucoma, Angle-Closure - diagnostic imaging; Glaucoma, Angle-Closure - etiology; Glaucoma, Angle-Closure - surgery; Humans; Intraocular Pressure; Lens Diseases - complications; Lens Diseases - surgery; Lens Implantation, Intraocular; Male; Medical sciences; Microscopy, Acoustic; Middle Aged; Ophthalmology; Phacoemulsification - methods; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the eye and orbit; Suture Techniques; Vitrectomy - methods; Glaucoma; Protozoa; Pars plana; Management; Phacoemulsification; Conjunctiva; Eye disease; Clinical management; Treatment; Glaucoma (eye); Surgery; Vitrectomy; Ciliata; Ophthalmology
• ISSN: 0886-3350; 1873-4502
• DOI: 10.1016/j.jcrs.2006.12.037

We describe a technique that uses a small-gauge, single-port, sutureless transconjunctival limited pars plana vitrectomy to facilitate phacoemulsification in eyes with a shallow anterior chamber and high intraocular pressure (phacomorphic glaucoma). These eyes have positive vitreous pressure, and anterior chamber formation with an ophthalmic viscosurgical device may not be possible. Surgery is difficult and prone to various intraoperative complications.