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BRIEF COMMUNICATION
Year : 2012  |  Volume : 60  |  Issue : 6  |  Page : 567-569

Planned posterior assisted levitation in severe subluxated cataract: Surgical technique and clinical results


Department of Ophthalmology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel

Correspondence Address:
Jaime Levy
Department of Ophthalmology, Soroka University Medical Center, Ben-Gurion University of the Negev, PO Box 151, Beer-Sheva 84101
Israel
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.103801

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We report the surgical technique and outcome of planned posterior assisted levitation (P-PAL) in four cases of subluxated cataract. P-PAL was planned as the preferred approach in all cases. A spatula was inserted via the pars plana, the whole lens was lifted to the anterior chamber and then removed through a scleral tunnel incision. Anterior chamber intraocular lenses were implanted in all cases. All four eyes had severe subluxation of the crystalline lenses with marked phacodonesis. Two eyes had history of blunt trauma, and the other two eyes had severe pseudoexfoliation with spontaneous lens subluxation. Follow-up ranged from 1 to 2 years in three cases. The postoperative visual acuity was 20/80 or better. No intraoperative complications were observed. In conclusion, the P-PAL technique was successfully performed during cataract surgery in four eyes with severe subluxated cataracts. There were no complications over the long-term follow-up.


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