Aqueous Misdirection vs Choroidals during cataract surgery скачать в хорошем качестве

Aqueous Misdirection vs Choroidals during cataract surgery

Unedited Surgical Videos by Dr. Youssef, second eye of Immediately sequential bilateral cataract surgery (ISBCS). The patient declined sedation and wanted to do the surgery without sedation. She was nice a still but kept her stress internally, which resulted in high blood pressure, The surgery was going great until the time of cortical clean-up. The AC became very shallow to the extend that these is no space to put the J-cannula or the I/A tip in the AC. Pushing OVD failed and the IOP push it out. My on the spot diagnosis was Aqueous Misdirection vs Choroidals. A 27G need was used twice to do a vitreous tap to decrease the IOP, but failed to make a difference but later allowed some fluid to come out through the wound and deepened the AC that it allowed the IOL to be implanted. When the BP was checked at the end of the second eye, was 220/110. Probably that what cause the choroidals. Plus the time of switching between the phaco and cortical clean-up allowed the IOP to drop and created a bigger gradient between the blood pressure and intraocular pressure which resulted in this complication.