Reverse Optic Capture for Dysphotopsias after Cataract Surgery скачать в хорошем качестве

Reverse Optic Capture for Dysphotopsias after Cataract Surgery

Dysphotopsias are common and generally short-lived phenomena following cataract eye surgery in which a patient observes undesired visual distortions (starbursts, shadows, etc.). As the patient heals and acclimatizes to their new vision, dysphotopsias tend to self-resolve. However, that is not always the case and sometimes patients will have persistent, bothersome, dysphotopsias that limit day-to-day life. One of the most effective treatments for negative dysphotopsias (associated with crescents, shadows, etc.) is reverse optic capture ~ "ROC" ~ where you reposition the optic of the artificial lens in front of the anterior capsular bag while keeping the haptics posterior to the anterior capsule. This simple adjustment shifts the optical system anteriorly and can substantially reduce negative dysphotopsias. Other methods for dysphotopsia management include: placement of a piggyback lens in the sulcus, truncation of the nasal optic, and IOL exchange for a lens with a rounded optic edge like a LI61AO lens. The patient I present in this video liked the Odyssey lens in her contralateral eye and had a small hyperopic prescription in the affected eye after cataracts surgery so I opted to keep the existing Odyssey lens and reposition using "ROC" to reduce/eliminate her dysphotopsias, while simultaneously shifting her prescription more minus to correct her hyperopia. This two-birds-one-stone approach paid off so I thought I'd share it with y'all. #negativedysphotopsia #positivedysphotopsia #dysphotopsias #dysphotopsia #cataractsurgeon #cataractsideeffects #eyes #vision #ophthalmology #ophthalmologist #visioncorrection #reverseopticcapture #surgicalfix #cataractsurgery