Wednesday, August 7, 2013

Topical Phacoemulsification in Traumatic White Cataract with Iridolenticular Adhesion by Dr Suresh K Pandey SuVi Eye Institute Kota India



Dear All, 

We are pleased to share with you surgical pearls for Managing Challenging Case of Traumatic Cataract. This 30 years old case of traumatic cataract due to thorn injury to the right eye five years back. 

We faced several challenges while managing this case- small irregular pupil that failed to dilate (due to irido-lenticular adhesions), localized calcified cataract, and presence of posterior capsular plaque. Topical phaco (supplemented with preservative free intracameral lignocaine) and IOL implantation was performed. Anterior capsular staining was done and irido-lenticular synechie was released using blunt spatula. This was followed by ant. capsulorhexis. The soft lens matter was aspirated using low phaco power and fluidics parameters. 

The calcified capsule/lens matter was removed and posterior capsular plaque peeling was also done. The IOL was implanted in the capsular bag. Preservative free intracameral injection of triamcinolone acetonide (0.1 cc) and intracameral injection of moxifloxacin (Vigamox) was used. 

The best-corrected vision (BCVA) was 20/30 and N9. 

Thanks, Dr Suresh K Pandey, SuVi Eye Institute, Kota, India (Email:suvieye@gmail.com). Here is the link for video:https://www.youtube.com/watch?v=9lgu2Txv6jQ&feature=c4-overview&list=UU12vTF4P0xWnhvjGbG2h94w

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