17 #2 hellish phaco trabectome with intraoperative aqueous misdirection, PC tear 20230925 202142 1 скачать в хорошем качестве

17 #2 hellish phaco trabectome with intraoperative aqueous misdirection, PC tear 20230925 202142 1

continued from 16 hellish phaco trabectome with intraoperative aqueous misdirection, PC tear 20230925 202142 intraoperative aqueous misdirection causes continously shallowing AC with PC bulging foward despite infusion pressure at 60 mmHg (BSS flows through lose zonules and accumulates posterior to lens capsule) terrible view from quadrupple glaucoma drop induced epitheliopathy epithelial slippage after inserting speculum oddly shallow AC during rhexis during phacoemulsification AC depth rather shallow and lens appears to push forward towards end of epinucleus and during I&A it becomes apparent that posterior capsule is bulging forward through rhexis and pushed against chopper round central PC tear barely apparent with vitreous strands anterior vitrectomy and cortex removal sulcus IOL, centers poorly despite capture of optic blood reflux from trabectome makes it hard to see iris does not contract well after carbachol (Miostat)