1. Anterior vitreous detachment: risk factor for intraoperative complications during phacoemulsification

    Anterior vitreous detachment: risk factor for intraoperative complications during phacoemulsification

    Purpose To confirm the presence of incomplete vitreo-lenticular adhesion via microscope-integrated intraoperative optical coherence tomography (iOCT) during cataract surgery and via diagnostic spectral-domain OCT postoperatively. Setting S. Fyodorov Eye Microsurgery Complex State Institution, Moscow, Russia; Design Prospective, non-interventional, single-center study. Methods Clinical characteristics and surgical videos of 27 patients (28 eyes) who underwent cataract surgery were documented. Real-time iOCT integrated into the surgical microscope was directed to view the retro-lenticular anatomy at the end of the surgery. Postoperatively, spectral-domain OCT was also performed. Results Berger’s space could be identified in 21 cases (75%) intraoperatively via iOCT and in 23 ...

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