Illumination provides clear imaging for poor red reflex eyes

Article

Intracameral illumination provides high-quality imaging and near 360° lens capsule structure visualization in eyes with poor red reflex, states a recent paper.

Intracameral illumination provides high-quality imaging and near 360° lens capsule structure visualization in eyes with poor red reflex, states a recent paper.

The interventional case series, conducted by a team led by Dr Yun Jung, Department of Ophthalmology, Gachon University Gil Hospital, Incheon, Korea, comprised of 17 eyes of 17 patients. All patients underwent surgeon-controlled intracameral illumination for combined cataract surgery and 23-gauge vitrectomy.

The main outcome measures included causes of the poor red reflex, value of the intracameral illuminator in specific cataract steps and intraoperative and postoperative complications.

Main causes of poor red reflex included vitreous haemorrhage in 8 eyes, vitreous opacity in 6 eyes and corneal opacity, bullous retinal detachment and globe deviation in 1 eye each.

Amount of corneal scatter and reflection of illuminating light was minimized by horizontal or oblique intracameral illumination. The excellent visibility of the lens capsules assisted the removal of almost all lens epithelial cells from the capsular bag.

All eyes underwent complete capsulorhexis and in-the-bag implantation of an IOL. Only one eye presented with a radial anterior capsule tear during irrigation/aspiration. The intracameral illumination procedure can be used for challenging cataract surgery combined with vitrectomy.

For the abstract please visit the Journal of Cataract and Refractive Surgery.

Newsletter

Join ophthalmologists across Europe—sign up for exclusive updates and innovations in surgical techniques and clinical care.

Recent Videos
Robert Sergott, MD, describes fluorescence lifetime imaging ophthalmoscopy (FLIO) and the International SPECTRALIS Symposium – And Beyond (ISS) in Heidelberg, Germany.
Rayaz Malik, MBChB, PhD, a professor of medicine at Weill Cornell Medicine - Qatar, spoke with Ophthalmology Times Europe about his presentation. It's titled "An eye on neurodegenerative diseases: Challenging the dogma" at the International SPECTRALIS Sympsoium. In conversation with Hattie Hayes, Ophthalmology Times Europe
Anat Loewenstein, MD, describes her presentation on remote imaging for age-related macular degeneration and geographic atrophy at the International SPECTRALIS Symposium, in conversation with Hattie Hayes of Ophthalmology Times Europe
Tyson Brunstetter, OD, PhD, a US Navy Aerospace Optometrist at the NASA Johnson Space Center in Houston, Texas, shares key takeaways from his keynote at the International SPECTRALIS Symposium (ISS)
Rayaz Malik, MBChB, PhD, shares his presentation, titled An eye on neurodegenerative diseases: Challenging the dogma, at this year's International SPECTRALIS Symposium
At the Retina World Congress, Siegfried Priglinger, MD, speaks about ensuring the best outcomes for preschool-aged patients
At the 2025 ASCRS meeting, Robert Ang, MD said small aperture IOLs can benefit all patients, especially those with complex corneas or who have undergone previous corneal refractive surgery
Viha Vig, MBChB graduate student at the University of Auckland, New Zealand, discusses her poster presentation on the relationship between mitochondiral disease, Alzheimer disease, and other types of dementia.
Alfredo Sadun, MD, PhD, chief of Ophthalmology at the Doheny Eye Institute, University of California Los Angeles, shared exciting new research with the Eye Care Network during the Association for Research in Vision and Ophthalmology (ARVO) meeting on the subject of Leber hereditary optic neuropathy (LHON).
At this year's Association for Research in Vision and Ophthalmology (ARVO) meeting in Salt Lake City, Utah, Nitish Mehta, MD, shared highlights from his research documenting real-world results of aflibercept 8 mg for patients with diabetic macular oedema.
© 2025 MJH Life Sciences

All rights reserved.