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Journal of Ophthalmology
Volume 2017 (2017), Article ID 4721540, 5 pages
Clinical Study

Air Bubble Technique for Fundus Visualization during Vitrectomy in Aphakia

1The Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag 82524, Egypt
2The Department of Ophthalmology, Graduate School of Biomedical Sciences, Tokushima University, 3-18-15 Kuramoto-cho, Tokushima 770-8503, Japan

Correspondence should be addressed to Takeshi Naito

Received 27 March 2017; Accepted 20 July 2017; Published 29 October 2017

Academic Editor: Maria-Andreea Gamulescu

Copyright © 2017 Mahmoud Mohamed Farouk et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To evaluate the efficacy and safety of air bubble technique for vitrectomy in aphakia. Study Design. Prospective interventional uncontrolled case series. Methods. This study included 53 eyes of 53 patients who are phakic and indicated for phacovitrectomy (7 eyes, group 1), aphakic and indicated for vitrectomy (22 eyes, group 2), or underwent unplanned vitrectomy for immediate management of a phacoemulsification surgery complicated by rupture posterior capsule with dropped nucleus, fragments, or IOL (24 eyes, group 3). Cases with complicated vitreoretinal pathology were not included in this study. All vitrectomy surgeries were conducted by the air bubble technique in the anterior chamber. Main outcomes included anatomical success, visual acuity, and intraoperative and postoperative complications. Results. The surgical success was achieved in 50 eyes (94.3%). Conversion to BIOM viewing system was needed in the retinal detachment cases of groups 1 and 2. The mean overall LogMAR visual acuity was significantly improved from 1.29 ± 0.58 preoperatively to 0.56 ± 0.19 at the final visit, 6 months postoperatively (). Conclusion. The air bubble technique as visualization method for vitrectomy in aphakia is an effective and cheap technique for immediate management of complications of phacoemulsification surgery. This trial is registered with Pan African Clinical Trial Registry PACTR201709002466296.