Anterior Segment

Dr.Mandal A K Stickler syndrome with Pierre Robin Sequence and bilateral congenital glaucoma is a rare disease. The present video highlights the management of such a child of one month age. Simultaneous bilateral primary combined trabeculotomy with trabeculectomy were performed under general anesthesia. Surgery was…

After successful phacoemulsification while implanting the Multi piece intraocular lens in the anterior chamber the trailing haptic of IOL was dislodged from the optic

In the life of a phaco surgeon many a times, comes a situation when it appears almost impossible to successfully do a lens implantation.

Traumatic retinal detachment & angle recession glaucoma are few of the most disastrous consequences of blunt trauma. The problem arises when they coexist. The options available to manage dialysis include explants or vitreoretinal surgery.

Iris prolapse can lead to increased post operative inflammation, hyphaema, iris transillumination defect, distorted pupil, sometimes vision threatening complication like posterior capsular rent.

Phacoemulsification (phaco) in vascularised corneal opacities is a challenge even for the most seasoned surgeons. We describe a case of successful phaco with IOL implantation in a vascularised macular corneal opacity in a one eyed patient. We begin with peribulbar anaesthesia and creating a conjunctival flap in case a conversion to ECCE or SICS is required intra-op.

This video will show how to do sutureless trabeculectomy. It can be performed alone only in trabeculectomy cases or can be performed with phacoemulsification cataract surgery.

To demonstrate the two methods of administration of MMC in trabeculectomy and to demonstrate the ease, effectiveness of MMC injection over the conventional method of sponges.

Keratoprosthesis is a surgical procedure where a diseased cornea is replaced with an artificial cornea.

Dr.VIJAY KUMAR SHARMA, Dr.Santosh Kumar, DR.SHRUTI SINHA This patient underwent optical penetrating keratoplasty 08 months back. When reported for follow up at six months, her visual acuity had dropped to HMCF and she was found to have double anterior chamber separated by a descemet membrane…

Trivial procedures are often expected not to have catastrophic complications but it can be otherwise.

The video highlights a rare case of Alports Syndrome (AS) that presented to ophthalmology department of a tertiary care eye centre with diminution of vision.

Temporal SICS has advantage of not affecting corneal astigmatism to any significant effect. Hence larger incisions can be used to deliver out hard,bulky nuclei with maximum tissue respect especially to endothelium

Capsulorhexis in white turgid cataract presents a challenge for every young ophthalmologist in training. High Intra Lenticular pressure poses difficulty in controlling the capsulorhexis, and can cause the capsulorhexis to radially tear out or in some cases lead to an argentinian flag sign.

Traumatic cataracts can pose with medical and surgical challenges to an ophthalmologist. Management becomes complicated by the presence of preoperative zonular dialysis, posterior capsular tear, coexisting trauma to the iris or cornea, and poor visualization. Cataract surgery in such a situation, to give best possible vision for the patient becomes challenging but is not impossible.

Phacoemulsification under topical anaesthesia was planned for nuclear sclerosis grade 3 cataract of a 67 years old gentleman.

Liquid cortex, weak zonules and often hard nucleus make cataract surgery in hypermature morgagnian cataracts a surgical challenge. Lens cortex in this 54-year-old patient was also absorbed, and together with weak zonules made the surgery more difficult.

Capsulozonular complications are an inevitable aspect of a cataract surgeon’s life. Improper management of these complications can lead to devastating sight threatening complications.

Capsulorrhexis is challenging in complex cases like fibrotic and calcified anterior capsules commonly seen in traumatic cataracts, hypermature cataracts and in eyes with loose zonules.

Descemet membrane detachment in DALK can lead to a double anterior chamber and compromise the vision and outcome of the surgery.

A 60 yr female with complaints of le eye pain for 1 year, with similar complaints in the past in be on irregular treatment on&off with multiple ophthalmologists over 2 years. on examination re healed peripheral ulcerative keratitis scars from 9 to 3 o’ clock position, similar active inflammatory process in left eye with corneal thinning seen on slit lamp.

Sturge Weber Syndrome (Encephalotrigeminal Angiomatosis) is a Phakomatosis. Glaucoma is reported in 30-71% of patients. Among them 60% are congenital which responds poorly to medical management.

Implantable collamer lens (ICL) are used in high myopes, who cannot be corrected with laser refractive surgery. Measuring horizontal white-to-white (WTW) diameter, manually or optically,

Blindness due to cataract is preventable cause of blindness and is largely emphasized upon in Vision 2020. Neglected traumatic cataract in adults with or without injuries present a great challenge to the ophthalmologist.

DR.NEHA SHILPY, Dr.Mathew Kurian We present two different scenarios of ocular trauma with traumatic cataract and varying degrees of iris damage and their management. One was an anteriorly subluxated cataract with 180 degrees of iridodialysis, where an intracapsular cataract extraction and anterior vitrectomy was done….