Primary Posterior Capsulorhexis Dr Charuta скачать в хорошем качестве

Primary Posterior Capsulorhexis Dr Charuta

Posterior capsulorhexis was introduced by H. Gimbel and T. Neuhann in the nineties. Primary posterior continuous curvilinear capsulorhexis (PPCCC) has been proposed since as primary surgical step in the presence of posterior capsule plaque and in case of primary or secondary paediatric cataract surgery (R. Stegmann). It is performed in a closed chamber -thus compression or decompression of anterior chamber is unlikely to occur. It is well controlled, safe, effective, and it completely and permanently avoids both regeneratory and fibrotic after-cataract formation behind the optic of a multifocal IOL  After lens removal, Dr Charuta flattened the posterior capsule with Aurogel plus (Aurolab, Madurai).  A 15-degree side port blade was used to make the initial nick in the fibrotic posterior capsule.  The Micro Capsulorhexis forceps was used to take up the capsule, and a well-centred 4 mm opening was formed.  Aurogel plus was again used to circumferentially separate the anterior hyaloid membrane from the residual posterior capsule, up to the periphery.  Then, she injected a multifocal single piece IOL into the capsular bag fornix.  The Aurogel was aspirated from the anterior chamber, and the incision seal checked. Topical anaesthesia was used throughout the procedure.