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:: جلد 24، شماره 4 - ( مجله چشم پزشکي ايران 1391 ) ::
جلد 24 شماره 4 صفحات 40-44 برگشت به فهرست نسخه ها
Cataract Surgery Management in Eyes with Extensive Iridoschisis
دکتر حسن هاشمی، دکتر گلستان لطیفی، دکتر ساسان مقیمی*، دکتر سیدفرزاد محمدی
، sasanimii@yahoo.com
چکیده:   (8681 مشاهده)

Purpose: To demonstrate an approach to the problems of cataract surgery in extensive iridoschisis

Methods: Four eyes of 2 patients with extensive iridoschisis had cataract surgery by the same surgeon using the techniques that resembled techniques for phacoemulsification in intraoperative floppy iris syndrome (IFIS). We used low flow parameters on phacoemulsification, used
super-cohesive ophthalmic viscosurgical devices (OVDs), avoided iris stretching, inserted iris hooks, administrated topical atropine preoperatively, and injected intracameral epinephrine.

Results: Iris fibrils remained immobile during the procedure, and despite the severity of iridoschisis, there was no iris attachment to phaco tip, iris billowing, or iris prolapse during phacoemulsification. None of the eyes developed posterior capsule rupture.

Conclusion: In severe iridoschisis patients, there are risks of aspiration of iris fibers and iris prolapse during cataract surgery. These might be prevented by combination of using
super-cohesive OVDs, avoidance of iris stretching, insertion of iris hooks, preoperative administration of topical atropine, and intracameral epinephrine.

  

Iranian Journal of Ophthalmology 201224(4):40-44 © 2012 by the Iranian Society of Ophthalmology
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نوع مطالعه: پژوهشی | موضوع مقاله: سگمان قدامی
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Hashemi H, Latifi G, Moghimi S, Mohammadi S. Cataract Surgery Management in Eyes with Extensive Iridoschisis. Iranian Journal of Ophthalmology. 2012; 24 (4) :40-44
URL: http://irjo.org/article-1-754-fa.html

هاشمی حسن، لطیفی گلستان، مقیمی ساسان، محمدی سیدفرزاد. Cataract Surgery Management in Eyes with Extensive Iridoschisis. مجله چشم پزشکی ایران. 1391; 24 (4) :40-44

URL: http://irjo.org/article-1-754-fa.html



جلد 24، شماره 4 - ( مجله چشم پزشکي ايران 1391 ) برگشت به فهرست نسخه ها
مجله چشم پزشکی ایران Iranian Journal of Ophthalmology
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