20 years Male patient came to us with history of DOV in L/E for last 20 days. No history of trauma. Ocular Examination: R/E—- WNL L/E: • Vision- HM+ • SLE- Dense cataractous lens with some white plaque and few hemorrhagic spot in superior part. • Fundus – Not Visible Planned for Phaco with Foldable IOL under TA with guarded prognosis.
Anterior Segment
To demonstrate that a posterior capsulorrhexis can also be done in an eye which has sustained a rent in a patient with a posterior polar cataract a 36 year old man came to us with visual symptoms and a visual acuity of 6/12. examination revealed bilateral posterior polar cataracts with a normal fundus.under local anaesthesia a 5mm rhexis was done and phaco surgery started under low parameters. with careful dilineation the nucleas was removed.
To demonstrate the techniques of vitreo-retinal management in case of eventful cataract surgery.
Phaco chop is the most important and difficult step in cataract surgery.It is the basis for uncomplicated cataract surgery. There are many techniques for phaco chopping. In my technique I am going to demonstrate First of its kind a new phaco chop technique with 26G needle which can be done in all types of cataract and in all situations .
Dr.Saurabh N Shah, Dr.Shreya Shah, Dr.Mehul Ashvin Kumar Shah, Dr.Pramod Kumar Upadhyay Traumatic cataract is one of the important cause of blindness following ocular trauma either open or close globe. Aim-presenting clinical & surgical features & surgical procedure adopted in management of PEDIATRIC TRAUMATIC CATARACTS….
A 29 year old female, diagnosed case of Marfans syndrome came with gradual progressive diminution of vision in BE since 2 years. On examination, BCVA was 6/9 in BE with -14 DS / -2 DC at 90’. Slit lamp revealed supero-temporal subluxated clear lens (7 clock hours) with intact, stretched zonules. She refused intervention then.
To demonstrate the advantages of a new design pupil expansion ring.
Fitting of rigid gas permeable contact lens in keratoconus requires meticulous selection of base curve and lens diameter in order to achieve an optimum fit ensuring best possible visual acuity and patient comfort.
DALK is a challenging procedure with a long learning curve, but due to its obvious advantages of preserving the host endothelium and maintaining anterior chamber integrity, it is being performed as a procedure of choice in those clinical conditions where endothelium is not involved by the pathology. We perform Deep Anterior Lamellar Keratoplasty in different clinical conditions.
VT179 – Symmetric Scaffold, Stable IOLDr.Shail, Dr.Vandana C Nath, Dr.Vasavada Abhaykumar Raghukant, Dr.Viraj Abhayakumar Vasavada Managing vitreous in posterior capsule rupture(PCR)is a challenge to cataract surgeon.Despite adequate vitreous management,often intraocular lens(IOL) stability is not perfect.This film highlights value of performing a symmetric anterior vitreous face removal,creating a symmetric scaffold for…
An 8 year old boy with 60mm IOP, adherent leucoma, iridodialysis and brown pupil came with just perception of light. The child had been hit with a nib of a pen for which he was operated 8 months ago.
DR.SHRUTI KOCHAR, Dr.Mathew Kurian Purpose: To describe the use of microscope integrated Spectral Domain Optical Coherence Tomography (SD-OCT) for image acquisition during Implantable Collamer Lens (ICL) implantation. Methods: This is a retrospective review of the operative technique for phakic IOL (ICL) implantation. Microscope mounted SD-OCT…
To place the IOL in a secured way to maintain its centration and stability in a subluxated cataratous lens case. To come out safely from the unexpected challenging situation.
The pair of Irrigation and Aspiration Hand Pieces is an indispensible tool in modern cataract surgery. Traditionally, the Irrigation Hand Piece is used only to maintain a steady inflow of Irrigating Solution into the eye during a cataract surgery.
22 years old male came to alleged history of fall from tree 30 feet height and sustained injury to right eye with a large foreign body stuck into his right orbit
To display strategies for management of paediatric ocular trauma cases depending on zones of injury.
To show management of three different types of cases with complicated cataract.
Cyanoacrylate Tissue Adhesive (TA) with Bandage Contact Lens (BCL) has become a cornerstone in treating severe corneal thinning and perforations ≤2.5 mm in size. High efficacy & ease of application makes it an indispensible tool in the corneal surgeon’s basket.
Traumatic cataract occurs secondary to blunt or penetrating ocular trauma. traumatic cataracts are associated with corneal injuries, opacities and other co- morbidities like iridodialysis, vitreous hemorrhage, macular hole etc, which affect the visual outcome of the patient.
To describe a new method of anterior capsulorhexis in intumescent cataracts.
To demonstrate how to do phaco in small pupil without iris hooks. Methods: Three different types of patients will be shown where pupil was small and phaco could be done even without using iris hooks.
Dr.Prabu Baskaran, Dr.Seema Ramakrishnan, Dr.Rengaraj Venkatesh Sutureless SFIOL has emerged as the most widely practised method of managing aphakia without adequate capsular support. Various techniques have been described to ensure a stable haptic fixation once the haptic is exteriorized. However, the most challenging step in…
There are many intraoperative difficulties in a leathery hard cataract e.g. none to poor red reflex, incisional burns with a clear corneal incision, risk of PCR and zonular dehiscence
To describe the surgical technique of managing case of inverted ICL Implantation. Method-A case report
Treating an aggressive Mooren’s ulcer although an uncommon entity is always a challenge to the corneal surgeon.Immunosuppressants and prompt intervention can save the eye.
To highlight the importance of pre-operative evaluation, treatment planning and its intra-operative application in achieving a predictable postoperative outcome in a complex cornea post kerato-refractive correction
Phacoemulsification post Penetrating Keratoplasty has always been a challenge to the treating corneal surgeon. Any intervention including cataract surgery can lead to rejection of corneal graft. Despite the advances in cataract surgery techniques there are learnings even for proficient surgeons.
This film demonstrates phacoemulsification (PE) in a series of challenging post vitrectomy cataracts. The special situations include total intumescent cataracts, very hard cataracts, open posterior capsule, small pupil with posterior synechiae, emulsified silicone oil, long term silicone oil tamponade etc.
Dr.Luci Kaweri, Dr.Mathew Kurian, Dr.Rohit Shetty This video highlights the importance of ray tracing aberrometry for pre-operative evaluation, treatment planning and its intra-operative applications in different lenticular conditions. Pre-operative evaluation of visual quality metrics and internal aberrations in cases of pseudomyopia, lenticular coloboma, anterior lenticonus,…
This video demonstrates the step wise management of managing different pupil related complications in phacoemulsification surgery.