Managing Challenging Case of Traumatic Cataract by Dr Suresh Pandey SuVi Eye Inst Kota India скачать в хорошем качестве

Managing Challenging Case of Traumatic Cataract by Dr Suresh Pandey SuVi Eye Inst Kota India

Dear All, We are pleased to share with you surgical pearls for Managing Challenging cases of Traumatic Cataract. This 30 year old case of traumatic cataract due to thorn injury (5 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 the presence of posterior capsular plaque. Topical phaco (supplemented with preservative-free intracameral lignocaine) and IOL implantation were performed. Anterior capsular staining was done and irido-lenticular synechiae were released using a blunt spatula. This was followed by an 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 ccs) and intracameral injection of moxifloxacin (Vigamox) were used. The best-corrected vision (BCVA) was 20/30 and N9. Thanks, Dr. Suresh K Pandey, SuVi Eye Institute, Kota, India (Email:[email protected]) #DrSureshKPandeyKota #DrVidushiSharmaKota #SuViEyeHospitalKota