Phaco‑handpiece used as aFragmatome for managing nucleus drop скачать в хорошем качестве

Phaco‑handpiece used as aFragmatome for managing nucleus drop

Phaco‑handpiece used as a Fragmatome for managing nucleus drop Amit S Nene, Pushpanjali Ramteke, Pratik Shenoy, Smitesh Shah, Sonal Shah1, Siddharth Sheth1 Department of Vitreo-Retina, Isha Netralaya, Kalyan, Maharashtra, 1Department of Cataract, Isha Netralaya, Kalyan, Maharashtra, India Correspondence to: Dr. Amit S Nene, Isha Netralaya, Radhakrishna Sankul, Karnik Road, Near Holy Cross Hospital, Kalyan West ‑ 421 301, Maharashtra, India. E‑mail: [email protected] Background: Nucleus drop during cataract surgery is a dreaded complication and requires urgent vitreo‑retinal intervention which is managed commonly using a fragmatome. However, a fragmatome is not readily available in routine ophthalmology set‑ups because its use is very limited. On the other hand, a phaco‑probe is commonly available with all surgeons and makes it cost‑effective. Purpose: The purpose is to demonstrate the utility of a phaco‑probe as an alternative to a fragmatome in managing nucleus drop during cataract surgery, making it cost‑effective and less time‑consuming and simple. Synopsis: The video shows two cases of complicated cataract surgery in which a nucleus is dropped in the vitreous cavity. The sleeve of the phaco‑probe was removed, and infusion was disconnected to make it function as a fragmatome. We noted reduced lenticular repulsion from the phaco‑handpiece tip as compared to the fragmatome, and no scleral burns were observed. The cases were completed by secondary placement of an intra‑ocular lens in the sulcus in the same sitting. Thus, the phaco‑probe can be considered to manage nucleus drop in the absence of a fragmatome. Highlights: A phaco‑probe can be used as an alternative to a framgamtome, which is a cost‑effective and simple technique. Video link:    • Phaco‑handpiece used as aFragmatome for ma...   Key words: Fragmatome, nulceus drop, phaco handpiece DOI: 10.4103/ijo.IJO_2200_22