Posterior Polar Cataract - Dr Sheetal Brar скачать в хорошем качестве

Posterior Polar Cataract - Dr Sheetal Brar

This video shows tips to perform safe cataract surgery in a case of Posterior Polar Cataract (PPC), 26% of which may be associated with a pre-existing dehiscence of posterior capsule.Creating a slightly smaller to medium CCC(4.5 -5.0 mm),avoiding hydrodissection and performing hydrodelineation in multiple planes to separate the endonucleus from epinucleus, avoiding sudden shallowing of anterior chamber, filling the AC with OVD before withdrawing phaco probe, viscoseparation of the epinuclear sheet, and use of bimanual I/A with low fluidic parameters are some surgical pearls which may help to prevent dehiscence in these fragile capsules .However, despite the precautions, one should always be prepared to deal with PC dehiscence and vitreous loss and keep a 3-piece IOL standby and do an optic capture, which generally results in satisfactory outcomes !