Purchase this article with an account.
M.M. Ibisevic, N. Pacuka–Saracevic, E. Alimanovic–Halilovic; The Simultaneous Manual Irrigation–Aspiration System in Open Anterior Segment Injury With Traumatic Cataract . Invest. Ophthalmol. Vis. Sci. 2005;46(13):752.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
Purpose:To present results of 12 patients ( eyes) with traumatic cataract that underwent extracapsular catract extraction ( ECCE) using simultaneous manual irrigation–aspiration system ( SMIAS). Methods: We reviewed patients records of 12 patients ( eyes), which had sustained severe traumatic corneal or corneo–scleral perforation with traumatic cataract, that underwent ECCE using SMIAS in period between 1990 to June 1995. SMIAS was designed in 1987 ( after team of ORBIS reintroduced ECCE with IOL implantation in Sarajevo) for use mostly in anterior chamber washout, and removal of lens cortex on open and half–closed eyes. SMIAS had been tested on models ( eye and anterior chamber ) and enucleated eyes in period of 1987 to 1990. SMIAS is closed system which allows manual simultaneous control of irrigation and aspiration. The system is inexpensive, easy to use, but requires sterilization, as well as preoperative assembling. Results: The preoperative VA of all traumatized eyes ranged from HM to LP. Besides anterior chamber washout and wound repair, we performed and ECCE. The IOL was primary implanted in 5 (42%) eyes, while 7 ( 58%)eyes were operated without IOL implantation. The postoperative, best corrected visual acuity ranged from 20/20 to 20/40 ( Mean ± SD = 0.746 ± 0.185). During the washing of anterior chamber and lens cortex removal with SMIAS , camera anterior remained mainly stable (we have not evidenced collapse, or significant variation in depth of anterior chamber ). Also, we didn’t experience other complications ( rupture of posterior capsule etc.). Conclusions: This system was used successfully in all cases, without any intraoperative incident , or postoperative system related complications. The eyes achieved satisfactory visual acuity. – SMIAS can be used in open anterior segment injuries where cortex removal and anterior chamber washout ( blood, dusty foreign bodies, etc) is necessary. This system may be applied in extraordinary situations ( war etc.) in settings where automated systems for irrigation and aspiration are not available. – Production of disposable sets would make SMIAS more convenient.
This PDF is available to Subscribers Only