Indian Journal of Ophthalmology

LETTER TO THE EDITOR
Year
: 2013  |  Volume : 61  |  Issue : 12  |  Page : 774-

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


Krishnan Panakanti Tandava1, Ravikoti Rajyalakshmi2, Snehal N Radke3, Nishant V Radke4,  
1 Department of Vitreo-Retina, Pushpagiri Eye Institute, 241, Uma Plaza Road No: 9, West Maredpally, Secunderabad, Andhra Pradesh, India
2 Cataract And Anterior Segment, Kishore Chand Chordia Eye care Centre, LV Prasad Eye Institute, Begum Bazaar Chhatri, Hyderabad, India
3 Department of Cataract and anterior segment, Vasan Eye Care Hospital, Nasik, India
4 Vasan Eye Care Hospital, Mumbai Naka, Mumbai Agra Road, Nashik, Maharashtra, India

Correspondence Address:
Krishnan Panakanti Tandava
Department of Vitreo-Retina, Consultant Vitreo retina Surgeon, Pushpagiri Eye Institute, 241, Uma Plaza Road No: 9, West Maredpally, Secunderabad - 500 026, Andhra Pradesh
India




How to cite this article:
Tandava KP, Rajyalakshmi R, Radke SN, Radke NV. Planned posterior assisted levitation in severe subluxated cataract: Surgical technique and clinical results.Indian J Ophthalmol 2013;61:774-774


How to cite this URL:
Tandava KP, Rajyalakshmi R, Radke SN, Radke NV. Planned posterior assisted levitation in severe subluxated cataract: Surgical technique and clinical results. Indian J Ophthalmol [serial online] 2013 [cited 2020 Oct 28 ];61:774-774
Available from: https://www.ijo.in/text.asp?2013/61/12/774/121140


Full Text

Dear Editor,

We have read with great interest the article titled, "Planned posterior assisted levitation in severe subluxated cataract: Surgical technique and clinical results". [1] We wish to highlight a few points: General anaesthesia with its associated complications is hardly justified as a routine where local anaesthesia can be safely administered.

Statistically speaking, with a sample size of four,when the authors claim to have no posterior segment complications, the confidence interval can actually vary from 0-53%. [2] This range is huge by itself and hence no definite conclusion regarding its safety can be made. Incidentally, the reported rates of posterior segment complications after management of a subluxated lens by Pars plana approach are Cystoid macular oedema (8%), Retinal detachment (3%) and vitreous haemorrhage (3%). [3]

While the authors have assiduously listed out the complications of transcleral fixation of intraocular lens (IOL) scleral-fixated intraocular lens (SFIOL), they have neither mentioned the complications of Anterior chamber IOL (ACIOL), [4] nor have they established its superiority over SFIOL.

References

1Lifshitz T, Levy J, Kratz A, Belfair N, Tsumi E. Planned posterior assisted levitation in severe subluxated cataract: Surgical technique and clinical results. Indian J Ophthalmol 2012;60:567-9.
2Sackett DL, Haynes RB, Guyatt GH, Tugwell P. Clinical Epidemiology: A Basic Science for Clinical Medicine. 2 nd edn. Toronto: Little, Brown and Co; 1991. p. 175-6.
3Kazemi S, Wirostko WJ, Sinha S, Mieler WF, Koenig SB, Sheth BP. Combined pars plana lensectomy- vitrectomy with open loop flexible anterior chamber intraocular lens (ACIOL) implantation for subluxated lenses. Trans Am Ophthalmol Soc 2000;98:247-51.
4Salehi-Had H, Turalba A. Management of traumatic crystalline lens subluxation and dislocation. Int Ophthalmol Clin 2010;50:167-79.