The kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision
Abstract We developed a new method to retrieve a dropped nucleus of the lens via a small incision using bipolar pencils, the kebab technique, to solve the lack of small-gauge fragmatomes, and the expense and toxicity of perfluorocarbon liquids (PFCL). A total of 8 eyes in 6 patients underwent this t...
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doaj-24eaae03cb714a1a96c86178579b7bcc2021-04-18T11:37:41ZengNature Publishing GroupScientific Reports2045-23222021-04-011111510.1038/s41598-021-87022-3The kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incisionHiroshi Aso0Harumasa Yokota1Hirotsugu Hanazaki2Satoru Yamagami3Taiji Nagaoka4Division of Ophthalmology, Department of Visual Sciences, Nihon University School of MedicineDivision of Ophthalmology, Department of Visual Sciences, Nihon University School of MedicineDivision of Ophthalmology, Department of Visual Sciences, Nihon University School of MedicineDivision of Ophthalmology, Department of Visual Sciences, Nihon University School of MedicineDivision of Ophthalmology, Department of Visual Sciences, Nihon University School of MedicineAbstract We developed a new method to retrieve a dropped nucleus of the lens via a small incision using bipolar pencils, the kebab technique, to solve the lack of small-gauge fragmatomes, and the expense and toxicity of perfluorocarbon liquids (PFCL). A total of 8 eyes in 6 patients underwent this technique and were reviewed. After vitrectomy, the dropped nucleus of the lens was lifted from the retina by adhesion with a bipolar pencil, and phacoemulsification was performed while rotating the lens. The outcome measures were best-corrected visual acuity (BCVA), intraocular pressure (IOP), and corneal endothelial cell density before and after surgery. Surgical indications included zonular weakness, trauma, acute angle closure attack, and phacolytic glaucoma. At 1 month, BCVA improved from a mean (standard deviation, SD) 1.67 logMAR (0.90) to 1.14 logMAR (1.01). The mean preoperative IOP was 24.5 (16.8) mmHg and postoperative IOP was 11.0 (2.8) mmHg. The mean preoperative corneal endothelial cell count was 2600 (322) cells/mm2 (one eye was unmeasurable) and postoperative corneal endothelial cell count was 2387 (431) cells/mm2. There were no postoperative complications. The retrieval of a dropped nucleus of the lens using a bipolar pencil enables small incisions without using PFCL.https://doi.org/10.1038/s41598-021-87022-3 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hiroshi Aso Harumasa Yokota Hirotsugu Hanazaki Satoru Yamagami Taiji Nagaoka |
spellingShingle |
Hiroshi Aso Harumasa Yokota Hirotsugu Hanazaki Satoru Yamagami Taiji Nagaoka The kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision Scientific Reports |
author_facet |
Hiroshi Aso Harumasa Yokota Hirotsugu Hanazaki Satoru Yamagami Taiji Nagaoka |
author_sort |
Hiroshi Aso |
title |
The kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision |
title_short |
The kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision |
title_full |
The kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision |
title_fullStr |
The kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision |
title_full_unstemmed |
The kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision |
title_sort |
kebab technique uses a bipolar pencil to retrieve a dropped nucleus of the lens via a small incision |
publisher |
Nature Publishing Group |
series |
Scientific Reports |
issn |
2045-2322 |
publishDate |
2021-04-01 |
description |
Abstract We developed a new method to retrieve a dropped nucleus of the lens via a small incision using bipolar pencils, the kebab technique, to solve the lack of small-gauge fragmatomes, and the expense and toxicity of perfluorocarbon liquids (PFCL). A total of 8 eyes in 6 patients underwent this technique and were reviewed. After vitrectomy, the dropped nucleus of the lens was lifted from the retina by adhesion with a bipolar pencil, and phacoemulsification was performed while rotating the lens. The outcome measures were best-corrected visual acuity (BCVA), intraocular pressure (IOP), and corneal endothelial cell density before and after surgery. Surgical indications included zonular weakness, trauma, acute angle closure attack, and phacolytic glaucoma. At 1 month, BCVA improved from a mean (standard deviation, SD) 1.67 logMAR (0.90) to 1.14 logMAR (1.01). The mean preoperative IOP was 24.5 (16.8) mmHg and postoperative IOP was 11.0 (2.8) mmHg. The mean preoperative corneal endothelial cell count was 2600 (322) cells/mm2 (one eye was unmeasurable) and postoperative corneal endothelial cell count was 2387 (431) cells/mm2. There were no postoperative complications. The retrieval of a dropped nucleus of the lens using a bipolar pencil enables small incisions without using PFCL. |
url |
https://doi.org/10.1038/s41598-021-87022-3 |
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