Modifications in cataract surgery for the morbidly obese patient☆
Accepted 24 February 2004.
Abstract
We describe a standing phacoemulsification technique (SPT) with the patient in reverse Trendelenburg position (RTP) as a means of performing surgery in morbidly obese patients. These patients have elevated vitreous pressure, leading to a high rate of posterior capsule rupture and vitreous loss. The SPT with RTP normalizes vitreous pressure, facilitating cataract surgery.
Department of Ophthalmology, American University of Beirut, Beirut, Lebanon
Reprint requests to A. Mansour, MD, American University of Beirut-Ophthalmology, PO Box 113-6044, Beirut, Lebanon.
☆ Neither author has a financial or proprietary interest in any material or method mentioned.
ABSTRACT