Refractive Lens Exchange with Piggyback IOL Dr Suresh K Pandey Suvi Eye.mpg скачать в хорошем качестве

Refractive Lens Exchange with Piggyback IOL Dr Suresh K Pandey Suvi Eye.mpg

In this video Dr Suresh K Pandey & Dr Vidushi Sharma, eye surgeons of SuVi Eye Institute & Research Center, Kota, Rajasthan, India (www.suvieye.com) share pearls & stretegies to manage high hyperopia using refractive lens exchage with primary polypseudophakia (AcrySof Toric IOL in capsular bag & Monofocal IOL in sulcus). This 45 years old patient presented to us with refractive error of +16 D Sph. +1.50 D Cyl. @ 170 degree (BCVA 6/12, due to amblyopia). IOL power calculation using Holladay 2 formula was 36 Diopter. The postoperative refraction was +0.25 D Sph (BCVA 6/12). We have planned to implant AcrySof Toric IOL (30 Diopter, T3 model, maximum power available) in the capsular bag and compansate 6 Diopter by implantation of a monofocal IOL (Flexifold) in the ciliary sulcus. While performing piggyback IOL implantation, the previous practice of stacking two acrylic lenses in the capsular bag has since been abandoned due to occasional problems with interlenticular opacification and reduced visual acuity. The residual IOL power originally calculated for placement in the capsular bag will need to be adjusted only if the IOL power of second IOL (intended for ciliary sulcus) is more than 8 Diopter. It is recommended that different IOL materials, in different locations, be used for the creation of a polypseudophakia lens pair. Though not shown in this video, for the ciliary sulcus lens, a large diameter, low profile, round edge, biconvex newer generation silicone IOL, such as the Staar AQ-2010V (+5.00 D to +30.0 D) or the extended power range Staar AQ-5010V (-4.00 D to +4.00 D) is recommended. These IOLs lowers the likelihood of pigment dispersion, iris transillumination defects, intermittent uveitis, or secondary glaucoma, as well as the occasional "teeter tottering" of the sulcus placed IOL over a biconvex, or positive shape factor, capsular bag IOL. About Dr Suresh K Pandey- A medical graduate of Rani Durgawati University, Medical College, Jabalpur, M.P., India; Dr. 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, C 13 Talwandi, Kota, Rajasthan, India; +91 744 2433575, E-mail- [email protected], www.suvieye.com Dr. Suresh Pandey's surgical video can be viewed at    / drsureshkpandey