Posterior polar cataract managed with vitrector, posterior capsulorhexis and toric IOL скачать в хорошем качестве

Posterior polar cataract managed with vitrector, posterior capsulorhexis and toric IOL

This 18-year-old patient, like other family members was born with bilateral posterior polar cataracts. Having underwent complicated cataract surgery in his left eye (capsular rent, vitreous loss, IOL incarceration, end-stage stage glaucoma), he came and see our clinic. Preoperative visual acuity was 0.3 in this eye and hand movements in the left eye. Having imaged the lens with OCT, observing many lenticular lamellae dive into the defect, I decided not to proceed with the textbook suggestion of endonuclear delineation. Management: 1. debulking of the soft nucleus in sculpt mode 2. viscodissection of the cortex and epinucleus with cohesive viscoelastic, avoiding passing visco across the posterior pole 3. careful aspiration and trimming of the cortex and epinucleus with the anterior vitrector 4. primary posterior capsulorhexis 5. in-the-bag implantation of Tecnis ZCT300 toric IOL The patient did excellent, obtaining a visual acuity of 0.6 with a refraction of 0 (-0.75 x 20°), only limited by relative amblyopia.