Intracameral illuminator-guided advanced lens capsule polishing during cataract surgery in eyes with diabetic retinopathy

摘要

Improvements in surgical techniques, materials and designs of intraocular lens, and therapeutic agents have lowered the rate of posterior capsule opacification (PCO), but capsular changes such as PCO and anterior capsule contraction are still significant problems.Especially in eyes with vitreoretinal disease such as diabetic retinopathy (DR) or uveitis, PCO and anterior capsule contraction are known to be more severe than in nonpathologic eyes. Furthermore, cataract surgery is mofe challenging in eyes with DR because of the poorly dilated pupil, posterior synechiae, corneal edema, and poor fundus reflex. Because the opacification of the lens capsule interferes with the visualization of the fundus, laser photocoagulation of the retina, and vitreoretinal surgery, it is necessary to keep the entire lens capsule transparent in eyes with DR.Here, we introduce an advanced technique involving intracameral illuminator-assisted lens capsule polishing during phacoemulsification cataract surgery in eyes with DR.