Retrolental cohesive ophthalmic viscoelastic injection for severe subluxated cataracts: a prospective study

TL;DR

A new surgical technique called 'Viscolift' was tested to help reposition severely displaced cataracts, leading to improved vision with no major complications.

Contribution

The 'Viscolift technique' is introduced as a novel method for managing subluxated cataracts during surgery.

Findings

The Viscolift technique successfully recentered and stabilized all 13 subluxated cataracts.

Best-corrected visual acuity significantly improved from 20/63 to 20/25 after surgery.

No major complications were observed in the 6-month follow-up period.

Abstract

To assess anatomical and functional outcomes of retrolental cohesive ophthalmic viscoelastic injection (“Viscolift technique”) in patients with severely subluxated cataracts.

In the present prospective study, we included patients older than 18 years with severely subluxated cataracts and phacodonesis. Full medical history was obtained at the baseline ophthalmological assessment. A single 25-gauge valved trocar was inserted 4 mm from the limbus and a 27G angled cannula was introduced through the trocar into the retrolental space, while cohesive viscoelastic was progressively injected, in order to center and elevate the cataract to facilitate capsulorhexis. After complete phacoemulsification, a 3-piece intraocular lens (IOL) with a scleral fixated Cionni ring or FIL-SSF scleral fixated IOL was implanted. Patients follow-up interval was 6 months after surgery.

Thirteen eyes of 13 patients were enrolled in the study, mean age was 61.5 ± 9.4 years and 53.8% were females. The “Viscolift technique” resulted in centered and more stable cataracts in all cases (100%). After complete phacoemulsification, 61.5% of patients were implanted with a 3-piece IOL with Cionni ring, and 38.5% with a FIL-SSF scleral fixated IOL after complete 25G vitrectomy. Mean BCVA improved from 0.5 ± 0.1 LogMar (20/63 Snellen) to 0.1 ± 0.1 LogMar (20/25 Snellen) (p < 0.001) at the last follow-up. No major complications were noted.

The “Viscolift technique” proved to be a safe and effective surgical approach for recentering and elevating subluxated cataracts, thus allowing the surgeon to perform an easier and better-centered capsulorhexis.

The online version contains supplementary material available at 10.1186/s40942-024-00583-z.

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