Pearl :White Mature cataract surgery (Phaco) with radial tear conversion to can-opener capsulotomy скачать в хорошем качестве

Pearl :White Mature cataract surgery (Phaco) with radial tear conversion to can-opener capsulotomy

White mature cataracts can pose problems with completing a continuous tear capsulorhexsis (CCC), due to the capsules being more fragile and leakage of liquefied cortical material may occur in hypermature cataracts. The capsulorhexis tears tend to extend to the periphery because of high intracapsular pressures associated with the liquefied cortical material. If the capsule rips in two directions the "Argentian Flag" sign will be produced when using Tryptan Blue staining of the capsule. Little's maneuver can sometimes save the errant rhexsis but if the tear goes to the equator, it is best in my experience to convert to a can-opener type capsulotomy. Phacoemulsification can be performed easily with a can-opener capsulotomy as well as in the bag implantation of the IOL. The nucleus can then be dismantled either supra- or intra-capsularly. Dr. Kavanagh practices at Eye Associates of South Texas with offices in: Seguin, San Antonio, New Braunfels, Luling, Gonzales and Hondo. 830-379-3937. www.eyeassociatesofsouthtexas.com or www.eyestx.com Dr. Kavanagh is fellowship trained in Glaucoma. Dr. Kavanagh is a board certified ophthalmologist and clinical assistant professor at University of Texas Health Science Center in San Antonio Texas, where he has taught many residents cataract and glaucoma surgery. Dr. Kavanagh has performed over 10,000 cataract procedures with intraocular lens implantation. He implants: Restor, Technis Multi Focal (MF), Crystalens, Toric IOLs.