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TitleTransconjunctival 23G vitrectomy and micro-incision cataract surgery (MICS): a winning team ?
Abstract Nr.130
PurposeAlthough transconjunctival vitrectomy was first introduced more than 5 years ago, its breakthrough came more recent since the advent of 23G instruments, which allow the surgeon to also perform more complicated vitrectomies transconjunctivally. At present, more than 80% of all vitrectomies are performed using 23G instruments in our center.
In patients aged over 50-60 years of age, cataract formation is inevitable after vitrectomy. Therefore, combined phaco-vitrectomy is performed in these patients, if not already pseudophakic. When the transconjunctival vitrectomy technique is used, the cataract incision is performed clear cornea, which has some disadvantages compared to a scleral tunnel incision, such as increased risk of corneal wound leakage during the vitrectomy.
MethodsTo evaluate whether the use of a micro-incision IOL during 23G vitrectomy reduces corneal wound leakage while maintaining the physical needs a vitreoretinal surgeon needs during surgery.
ResultsCombined 23G phaco-vitrectomies are performed by 2 surgeons comparing a “standard” acrylic IOL to a MICS IOL.
ConclusionAdvantages and disadvantages of either technique will be explained.
Author 1
Last nameSTALMANS
InitialsP
DepartmentDept. Ophthalmology UZLeuven
CityLeuven
Author 2
Last nameVan Calster
InitialsJ
DepartmentDept. Ophthalmology UZLeuven
CityLeuven
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