Cortex Removal with Dry Technique for Missing Zonules
in this case with significant zonular loss, Lisa Arbisser, MD, chooses to remove cortex with a dry technique in order to prevent vitreous from coming through the missing zonules. The movement of the bag indicates that the even manual aspiration may be too stressful for this eye. The surgeon places a Cionni modified capsular tension ring and capsular hooks for support during the remaining cortex removal.
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Preoperative Evaluation of Problematic Eyes
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Preventing Complications
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Early Stages of Complications
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Anesthesia
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Stages of Complications
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Phacoemulsification Vs Converting to Manual
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Managing a Dropped Nucleus
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Particulate Marking
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Rationale for a Pars Plana Incision
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The Anterior Incision
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Closing the Wound
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The Vitrectomy Procedure
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Vitrectomy Goals and Parameters
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Residual Cortex Removal
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Choosing a Direct-Entry Gauge or Cannula System
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Implanting an IOL
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Putting It All Together
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Closing the Eye and Postoperative Follow-up
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Unplanned PPV - Putting it all Together
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Zonulolysis Peek
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Miyake View of Viscolevitation
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Nucleus Save After CCC Failure
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Miyake View of 23 Gauge Trocar Entry
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Endoscopic View of 23 Gauge Direct Entry
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Cortex Removal with Dry Technique for Missing Zonules
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Recovering a Runaway Capsulorhexis
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Anterior Vitreous Around Zonules
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Pharmacologic Mydriasis
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Enlarging the CCC
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Cough During Phacoemulsification
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Managing Vitreous in the Anterior Chamber
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Capitalizing on Pressure Gradients to Move Vitreous
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Forward Capture in Pediatric Cataract Case
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OVD Stabilization for Posterior Capsule Hole
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Posterior Capsule Break with Optic Capture
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Paintball Injury with Open Posterior Capsule
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Conversion of PC Tear for Buttonhole Technique
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Posterior Capsule Punch
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Posterior Capsule Spider
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Pupil Flair in Vitrectomized Eye
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PPV Incision After Paintball Injury
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Particulate Identify and Amputate
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Subluxated Cataract with 23 Gauge Vitrectomy
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Pupil Bounce After Posterior Capsule Break

