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Advantages:

To show the use of mini-invasive 25 gauge system in the management of cataract surgery complications. In case of cataract surgery patients may not be mentally prepared that complications can occur … and surgeons as well.

Methods:

An anterior approach is used utilizing 25 gauge vitrectomy system when capsule rupture occurs and sulcus or posterior iris-fixed IOL implant is performed. In case of total or partial lens fragments luxation into the vitreous cavity, a 25/23 gauge pars plana approach to remove the crystalline lens is used. A 27 gauge transconjunctival light is always used to perform bimanual technique and a radical vitrectomy. The nurses have to be ready to set up the vitrectomy system in short time and without noise to avoid creating anxiety to the patient.

Effectiveness / Safety:

The 25/23 gauge systems provide an easy to use treatment option for these complications, with very low post-operative inflammatory reaction and a fast functional recovery. Transconjunctival 27 gauge light helps the surgeon to manage in an excellent way these perilous complications.

Immediate management of cataract surgery complications with a non-aggressive surgical technique under topical/ peribulbar anesthesia using the described small gauge approach helps control the panic in the operation room! Patients may only note that the duration of surgery has been longer than expected but postoperatively, good results are usually achieved with a high degree of patients’ satisfaction.