phaco in morgagnian cataract with lax capsule and mobile nucleus by Dr Ratan Purohit скачать в хорошем качестве

phaco in morgagnian cataract with lax capsule and mobile nucleus by Dr Ratan Purohit

a case of morgagnian cataract is presented. These are quite common in our area. Phaco is a challenge due to lax capsule, lax zonules and very freely mobile hard nucleus which has dense interlacing fibres. rhexis is completed with use of forceps and microvit. scissors. in this case a small radial tag occurred which did not create any problem. A small trench is made to fix the nucleus which is divided into multiple pieces by horizontal and vertical chop. caution is to be taken to avoid occlusion break at higher vacuum as it may cause zonular dialysis. capsule policing can better be avoided. after inflating capsular bag with cohesive viscoelastic IOL is implanted in the bag. PMMA IOL be avoided.