In First case while doing posterior capsule polishing under 400 mmHg vacuum, we had posterior capsule rent (PCR) and we converted PCR in to Posterior capsular rhexis followed by implantation of lens into bag.
Anterior Segment
Ectopia lentis is encountered in various cases during paediatric ophthalmology practice for children like those due to various causes like microspherophakia, Marfan’s syndrome, etc. Various methods are available to tackle these cases but lensectomy is an alternative technique for managing ectopia lentis, using modern, automated vitreous cutting devices, which is relatively safe and successful.
DALK is the preferred way of managing corneal pathology in case where endothelium is normal; it is graded superior to PK as it reduces chance graft rejection, it also have faster recovery than PK with early suture removal. DALK need more expertise as the procedure is more challenging than conventional PK.
To present the technique of repair of traumatic mydriasis, iridodialysis, subluxated cataractous lens with vitreous haemorrhage in a same patient.
Intraocular pressure (IOP) is the only modifiable risk factor in Glaucoma. Applanation tonometer is the preferred method for measuring IOP.
During a routine phacoemulsification after removing the cataractous lens and cortex we planned to implant a single piece hydrophobic iol in the bag. while implanting the iol their was a sudden jerk due to tight injector and the iol was lost.
This video shows management of Posterior Capsule (PC) Plaque in a case of traumatic cataract. The Plaque was quite adherent to posterior capsule and while attempting to remove it by forceps, the PC was seen to be under undue stretch. So we had to be careful in handling this plaque.
Dr.Nagendra Shekhawat, Dr.Sonal Kalia, Dr.Karishma Goyal PURPOSE- A VIDEO DEMONSTRATING A SUTURELESS GLUELESS WAY OF IMPLANTING IOL INTRASCLERALLY WHEN POSTERIOR CAPSULE IS DEFICIENT METHOD & Results – All patients needing secondary IOL, in lack of proper posterior capsular support due to subluxation,trauma or PCR underwent…
PCO is a nagging post cataract surgery complication especially in high myopes,young children and complicated cataracts.However one can adopt a surgical strategy which is likely to prevent PCO.
Gonioscopy is the biomicroscopic examination of anterior chamber angle of the eye and it gives clear insight into pathogenesis of glaucoma.
Surgical options available for correction of aphakia are AC-IOL, SF-IOL or iris clip lens. Iris-clip IOL is fixated to the posterior surface of the iris.
Tomography uses principle of rotating scheimpflug photography for creating 3 dimensional corneal images. It is an important tool in the armamentarium of present era of refractive cataract surgery.
Scleral melting is a devastating complication of Mitomycin C augmented trabeculectomies. We present a novel technique to manage such cases with a combination of graft materials with good post operative results.
he continuous curvilinear capsulorhexis is one of the most important steps in modern cataract surgery. Mastering the rhexis reduces complications, makes management of complex situations easier and paves the way to better surgical outcomes.
Scleral Melting and cystic blebs are one of the most common complications in MMC augmented trabeculectomies. We present a case of thin cystic overfiltering bleb with scleral melting managed using autologous scleral flap graft from the adjacent healty sclera. There were no flap related complications in the post operative period. We recommend usage of autologous scleral flap graft for bleb revision in cases where scleral allograft procurement is difficult. It is however imperative to keep under consideration the potential chances of scleral thinning and unintended perforation during flap creation.
Presented in this video is the management of refractory glaucoma secondary to retinal surgery where scleral melt occurred due to belt and buckle. A corneal patch graft covering the melt and another one over the tube (tube sandwich!) helped in the management
Thirty four year old presented with h/o squinting 1 year post sclera buckle for RD. BCVA(OD)6/36,N36 (OS)6/9,N6.Hirschberg test showed RET with hypotropia (50 PdET mod krimsky).ocular movements(OD) limited abduction and elevation of -2. Fundus examination(OD)myopic macular degeneration with Buckle effect seen.
A young adult from rural India, lost vision as an innocent bystander in a firecracker injury. He had to undergo immediate pars plana vitrectomy and lensectomy for subluxated cataractous lens.
Presented here is a case of a 20-year-old male with history of Vernal Keratoconjunctivitis and secondary steroid induced glaucoma. A supero-temporal trabeculectomy with mitomycin C failed as tremendous scarring occurred. He underwent an infero-temporal Aurolab Aqueous Drainage Implant (AADI), which controlled the IOP for a while, until the tube retracted and got impacted within the cornea with fibrosis and localized scarring.
Causes of Zonular Dialysis are Marfan’s Syndrome, Homocystinuria, Weil-Marchesani syndrome, Hyperlysinemia, Uveitis, Hypermature Cataracts, and Pseudoexfoliation syndrome, but most common cause is trauma.
Cataract surgery has become more of a refractive surgery with extremely high technical as well as visual expectations from both surgeons and patients. With the advent of aberration correcting IOLS, measurement of ocular aberration by Wavefront aberrometry has gained importance in selection of appropriate IOL referred to as customized cataract surgery.
35 year old male with 3 months status post parsplana vitrectomy and lensectomy with traumatic iridodialysis and mydriasis in left eye was taken up for secondary PCIOL implantation and repair of iridodialysis and mydriasis under peribulbour anaesthesia.
In subluxated cataracts one of the most difficult things to achieve is a central rhexis. We wanted to address the question whether enlargement of anterior capsulorhexis for centration and manual posterior capsulorhexis in paediatric cases can be performed with a CTR in place.
The primary function of the iris is to act as a diaphragm regulating the amount of light entering the eye. Causes of iris deficiency(Aniridia), include congenital and acquired(trauma and iatrogenic).
Combined trabeculotomy – trabeculectomy with mitomycin C even though considered a standard procedure and recommended as a primary surgery in congenital glaucoma, the complications associated with bleb formation and use of mitomycin – C have led to increased attention towards more safer and effective procedures like Illuminated microcatheter circumferential trabeculotomy.
Single haptic fixation of IOL is a simple one point scleral fixation of the IOL when there is inadequate capsular bag support. This technique is useful in aphakias with capsular remnants as a procedure for primary as well as secondary IOL implantation and in cases of IOL subluxation, to reposition and fixate the same IOL.
Perimetry remains the gold standard for glaucoma diagnosis and progression. With the development of newer software like Guided progression analysis, monitoring glaucoma progression has become more accurate. This video tutorial describes the use of trend analysis and event analysis in glaucoma progression. This video also illustrates use of GPA software in glaucoma progression.
VT257 – Perfecting outcomes in DMEKThis video describes a simplified technique of DMEK with the use of our ingenious injector and ‘S’ marking system
Posterior capsular opacification (PCO) is the commonest cause of diminution of vision after cataract surgery.
Proper nuclear segmentation shapes the further steps of phaco.cataract surgery. Full thickness division of nucleus becomes more challenging in hard mature cataract. Several techniques have been defined and compared for chopping nucleus in hard mature cataract, but still many surgeons report difficulty with full thickness division of hard leathery nucleus.