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

J Cataract Refract Surg. 2007 Jun;33(6):951-4. doi: 10.1016/j.jcrs.2006.12.037.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Anterior Chamber / diagnostic imaging
  • Anterior Chamber / pathology
  • Conjunctiva / surgery
  • Female
  • 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
  • Microscopy, Acoustic
  • Middle Aged
  • Phacoemulsification / methods*
  • Suture Techniques*
  • Vitrectomy / methods*