All in One - All Surgeries in One Case
A 61-year-old diabetic patient with a history of multiple ocular surgeries presents with inferior graft melt, haptic exposure, flat anterior chamber, and IOL adhering to the cornea. Dr. Amar Agarwal's surgical plan includes penetrating keratoplasty, glued IOL implantation and Ahmed Valve procedure. After placing the Ahmed Valve, half of the corneal graft is excised while the fibrovascular membrane is removed. OVD-assisted and manual peripheral synechiolysis is performed and a posterior capsulotomy is performed with a blade. A three-piece IOL is implanted using the glued IOL technique. After removing necrotic corneal tissue, a new donor button is sutured into place and the scleral flaps are resposited with fibrin glue.
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Comments (11)
WHAT IS THE VISUAL ACUITY OF THIS PATINT
good surgery , what about long term pkp follow up ?
beautiful surgery- what was the visual acuity at one month?
Only Amar sir can do it..i kno lot more is to come..proud to be his student...
Only Amar sir can do it..i kno lot more is to come..proud to be his student...
This is a great technique but I think it shold be standarized as a intraescleral IOL fixation, and not glued IOL
Thank you Its very good nice and promissing surgery
fantastic,iol power calculation necessary for second time,visual prognosis,is it good,present vision? dr.rahim
fantastic,iol power calculation necessary for second time,visual prognosis,is it good,present vision? dr.rahim
good lord! is there anything dr. agarwal cannot do? fearless and so skilled. being dr. agarwal's student ought to be mandatory for every surgeon.
Perfect surgery...