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Robert Osher, M.D.
The Frozen Cornea Affair
Video Journal of Cataract and Refractive Surgery
Cataract Surgery From Cryo to Femto
Anterior Chamber IOL
Video Journal of
Cataract and Refractive Surgery
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Volume #24 | Issue #1 | Episode #
Robert Osher MD
| ISSUE 4
How to Conquer Zonular Dialysis
Capsular Support System
Capsular Tension Segment (CTS)
HCTR Modified for Cortex Removal
Fish Tail Technique
Dangling Subluxated Lens
If you try to go back, right before IOL implantation, there was not enough viscoelastic in the bag such that the anterior leaflet collapsed onto the posterior capsule. This can be observed as soon as the IOL slides into the bag with a bit of anterior chamber collapse. This may have been averted if there was enough cohesive Na Hyaluronate in the capsular bag. Hence right after the ring was inserted this may have separated the fused anterior and posterior chambers. I didn't see that much zonular dehiscence during the procedure. But inflating the bag under the IOL with Na Hyaluronate and rotating the lens thereafter may have solved the problem. IMHO
very very informative
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