Modifications in cataract surgery for the morbidly obese patient

J Cataract Refract Surg. 2004 Nov;30(11):2265-8. doi: 10.1016/j.jcrs.2004.02.088.

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.

MeSH terms

  • Humans
  • Obesity, Morbid / complications*
  • Phacoemulsification / methods*
  • Posture*
  • Retrospective Studies