Topical Phaco & Removal of Silicone Oil through Post. Capsulorhexis Dr Suresh Pandey скачать в хорошем качестве

Topical Phaco & Removal of Silicone Oil through Post. Capsulorhexis Dr Suresh Pandey

In this video, we shares pearls for performing topical phacoemulsification combined with transpupillary silicone oil removal through posterior continuous curvilinear capsulorhexis.Cataract surgery was performed under monitored topical anesthesia in this 44 years old patient. A superior corneal incision (at steep axis) was employed, balanced salt solution supplemented with adrenaline was used as irrigating fluid, and Viscoat (Alcon- sodium chondroitin sulphate/sodium hyaluronate) as viscoelastic. A continuous curvilinear capsulorhexis was achieved and hydrodissection was performed with a hydrodissecting canula. The phacoemulsification technique consisted of a standard phaco chop method. We used an AMO phacoemulsifier (Sovereign Compact with WhiteStar ICE/CASE) (Abbott Medical Optics, Santa Ana, CA, USA) with a 30° tip. The phacoemulsification settings were 30 ml/min aspiration rate, 300 mm Hg vacuum for the removal of fragments at an initial bottle height of 90 cm. These settings were altered if abnormal fluctuations in the anterior chamber depth were observed during phacoemulsification. A foldable hydrophobic acrylic implant (AMO Sensar) was implanted. A posterior capsulotomy was fashioned and silicone oil was aspirated with a Peyman cannula prior to the insertion of a lens implant. Silicone oil has been used successfully in vitreoretinal surgery for many years. But complications from the use of silicone oil as a long-acting internal tamponade may develop. They include glaucoma, keratopathy, oil emulsification, and cataract. For patients requiring silicone oil removal and cataract surgery, both operations can be performed in a combined procedure. After phacoemulsification, a posterior continuous curvilinear capsulorhexis(PCCC) is performed, followed by irrigation of balanced salt solution (BSS) in to vitreous cavity allowing flow out of silicone oil through the PCCC and intraocular lens (IOL) is implanted into remaining capsular bag. This technique offers faster visual rehabilitation, shorter operation time and reduces the risk of peripheral retinal defect, vitreous hemorrhage that may be caused by traditional oil removal through sclerostomy. Contact Details Dr Vidushi Sharma, Suresh K Pandey- Suvi Eye Institute and Research Center, VISX™ Advanced CustomVue™ Lasik Laser Center, C 13 Talwandi, Kota, Rajasthan, India; Phone +91 (744) 2433575; +91 9351412449; E-mail- [email protected], www.suvieye.com A medical graduate of Rani Durgawati University, Medical College, Jabalpur, M.P., India; Dr. Suresh Pandey completed his residency in Ophthalmology from prestigious Postgraduate Institute of Medical Education and Research, Chandigarh, India. He worked at Medical University of South Carolina, Charleston, SC, USA, University of Utah, USA & University of Sydney, Australia from1998 to 2006. Dr. Pandey returned to India in 2006 to establish SuVi Eye Institute and Research Center at Kota, Rajasthan, India (www.suvieye.com). Dr. Pandey has presented more than 150 scientific papers in various international ophthalmological meetings and authored more than 100 scientific papers/communications, 50 textbook chapters, and 10 ophthalmic textbooks. Dr. Pandey's book on Pediatric Cataract Surgery (Lippincott Williams & Wilkins, USA) remains the bestseller on this topic. In 2005, Dr. Pandey was invited to demonstrate Live Surgery at international meeting at Milan, Italy. Dr. Pandey received several prestigious awards for his research & surgical innovations, which include Best-of-Show Video Award, Best Poster Award, Best-Paper-of-the-Session Award for the surgical videos, scientific posters and papers in the national and international ophthalmology congresses. Most recently, Dr. Pandey has been selected for Achievement Award by the American Academy of Ophthalmology. Dr. Pandey can be reached at Suvi Eye Institute and Research Center, VISX™ Advanced CustomVue™ Lasik Laser Center, C 13 Talwandi, Kota, Rajasthan, India; Phone +91 (744) 2433575; +91 9351412449; E-mail- [email protected], www.suvieye.com Dr. Suresh Pandey's surgical video can be viewed at    / drsureshkpandey   #DrSureshKPandeyKota #SuViEyeHospitalKota #SuViEyeHospitalLasikLaserCenterKota