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

Authors Akamine R, Miyamoto N, Kiritoshi S, Kusaka M, Akimoto M

Received 7 November 2020

Accepted for publication 27 January 2021

Published 23 February 2021 Volume 2021:15 Pages 769—774


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser

Supplementary video of "Alternative capsule for dislocated lens" [ID 287462].

Views: 107

Rinko Akamine, Naomi Miyamoto, Shoko Kiritoshi, Mami Kusaka, Masayuki Akimoto

Osaka Red Cross Hospital, Osaka, Japan

Correspondence: Masayuki Akimoto
Osaka Red Cross Hospital, 5-30 Fudegasakicho, Tennojiku, Osaka, 543-8555, Japan

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

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