Dr.Sumitro Saha, Dr.Arup Bhaumik, Dr.Suchanda Sar
Phacoemulsification under topical anaesthesia was planned for nuclear sclerosis grade 3 cataract of a 67 years old gentleman. The surgery was performed in a tertiary care eye hospital in West Bengal, India. After construction of corneal incision and side ports, capsulorhexis was started with 26G needle bent cystitome. There was shallowing of anterior chamber with extension of capsulorhexis. Capsulorhexis was completed after performing capsule margin nicks . Phacoemulsification of nucleus was performed carefully with reduced parameters. Cortical aspiration was done. IOL insertion resulted in posterior capsular rent (PCR) with dropping of IOL-optic in anterior vitreous, trapped behind posterior capsule. The trailing haptic was at the main incision site. A side-port was made opposite to main incision. IOL was manoeuvred out and positioned in ciliary sulcus. At one-week post-op the patient had corrected vision of 6/9, IOP of 12 mm Hg. Fundus showed no CME or retinal break.
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