Rhexis has gone Radial.Now What..? Understanding the Flap Motility sign - Dr Deepak Megur скачать в хорошем качестве

Rhexis has gone Radial.Now What..? Understanding the Flap Motility sign - Dr Deepak Megur

How to proceed in a case where in we have had equatorial extension of the anterior capsular tear? Continuing with phacoemulsification carries a risk of potential nucleus drop if the tear extends beyond the equator and in to the posterior capsule. How to identify wether the anterior capsular tear has traversed beyond the equator and in to the posterior capsule..? This video demonstrates the importance of the "Flap motility sign", which helps us in ruling out the post equatorial extension of the tear into the posterior capsule. Dr Rohit Omprakash et al have described this sign called " The Flap Motility sign" which is, if the torn flap of the anterior capsule is everted and fluttering , it indicates that the anterior capsular tear is still not traversed beyond the equator and has not yet involved the posterior capsule. On the Other hand , if the torn edge of the anterior capsule is stiff and inverted , it is indicative that the tear has extended beyond the equator in to the posterior capsule and would warrant swift conversion to Manual SICS or ECCE to prevent impending nucleus drop.