MSICS In Nuclear Cataract Grade 5: First Post Op Day Clear Cornea with 6/9 Unaided Vision скачать в хорошем качестве

MSICS In Nuclear Cataract Grade 5: First Post Op Day Clear Cornea with 6/9 Unaided Vision

MSICS In Nuclear Cataract Grade 5: First Post Op Day Clear Cornea with 6/9 Unaided Vision This was a 70 years old gentleman presented with grade 5 nuclear sclerotic cataract with poor zonular support. Many surgeons would go for phacoemulsification but it would prone to phaco ultrasound energy related corneal complications, lens capsule and zonules related complications including lens matter drops or zonular dialysis. In other words standard phaco would be challenging and risky despite of best of the phaco machines, OVD and surgical skills. In such cases the role the femto laser assisted cataract surgery (FLACS) is advocated to minimize ultrasound energy related complications. The FLACS is unaffordable to most of the cataract surgeons and patients in the present scenario. Other par excellence, simple and economical option is manual small incision cataract surgery (MSICS). We decided to do MSICS in this case. The capsulorhexis was done and two relaxing incision were made as nuclear size anticipated large. The nucleus was tried to rotate in the capsular bag bit it could not be due to capsulo-cortical matter adhesions. The cortical matter aspirated by IA canula and then nucleus is rotated and dialed out in the anterior chamber. Then nucleus was taken out by vectis. Irrigation aspiration is done. PMMA IOL implanted. The sclero-corneal tunnel was sutured with 10-0 nylon suture to control surgical induced astigmatism. Post operative day 1 vision was 6/9 unaided with crystal clear cornea.Patient had 6/6 unaided vision on 4th day post operative. Visco used: HPMC 2 % Irrigation Solution: Ringers Lactate Biometry: Non contact US A Scan IOL Power Formula: SRK 2 -------- Dr Sudhir Singh,MS Sr.Consultant & HOD Phaco Surgeon,Paediatric Ophthalmololist & Strabismologist JW Global Hospital & Research Centre Mount Abu,India [email protected] Visiting Senior Consultant Ophthalmologist Global Institute Of Ophthalmologist Abu Road 307510 [email protected] http://www.squintmaster.com/ http://www.theeyetimes.com/ http://www.rostimes.com/ Visit Us for more on strabismus software at www.SquintMaster.Com