Iatrogenic Zonular Disaster
In any eye with suspected weak zonules, it is in the surgeon’s best interest to create the largest feasible rhexis and chop the nucleus into small pieces. The failure to chop the nucleus into small pieces led to the iatrogenic disaster of 180º zonulolysis. In challenging and complicated cases such as zonular dehiscence or posterior capsular rupture, Dr. Khiun Tjia, MD, prefers to use very low fluidics with torsional ultrasound. With an adequate visco-shield in place, the nucleus can be safely emulsified in the anterior chamber. The elderly woman decided to remain aphakic as a +4.00 D hyperope, with excellent television and reading vision.
6,562 video views and 58,501 series views since 2/17/2010
Comments (8)
Thank you for your share. it is very important to learn how to manage a complication
thank you for sharing.
Congratulations for sharing management of complications. I suggest the Eyetube editors to create a Section of Surgery Complications & Management
Thanks for sharing. I will need the same amount of serenity and Viscoshield in my next capsular tear or zonular dialisis....
MANAGED VERY WELL,CONGRATULATION DR TJIA.
all my respect for Dr Tjia who is so brave to show us his complication. I think a lot of us would do not dare to publish our complications on the net. I think only the best surgeons can afford to do so, my respect for Dr Tjia only increased. Thanks Khiun !
old lady in wheelchair, very happy with +4 spectacle correction for TV and + 6,5 for reading. Offered secondary implant, but patient preferred to remain aphakic
4 and good T.V? you dont use miochol? very nice perfom.