Peribulbar in Megalophthlamus Getting an AcrySof IQ Toric IOL

In this anxious patient, Robert Osher, MD, opts for peribulbar block during cataract removal and toric IOL implantation. On the third peribulbar attempt, the 27-gauge needle perforates the eye and the cornea turns white almost immediately. The surgeon reacts quickly to release the fluid through a paracenthesis and examines the retina for damage. The case proceeds normally and the lens is disassembled with OZil IP. Dr. Osher thoroughly removes cortical material and polishes the bag with an I/A tip. Following insertion of an AcrySof IQ Toric IOL though a small incision, the patient reports he has no vision despite a normal appearing retina. After a nervous night of waiting, the anesthesia wears off and patient’s vision returns to 20/20. Viewed 5097 times.

Robert Osher, MD

Cincinnati, OH

Surgical Faculty

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