Capsular Bag Transplantation
by Andrey Yakimov, MD, Yuriy Kondratenko, MD
In our video we are demonstrating the surgical technique of safe and effective transplantation of donor capsular bag with an AcrySof (Alcon) IOL implantation into it in persons who lack their capsular bag initially or when it's lost during cataract surgery. We call upon everyone who got interested in this topic to participate in discussion in order to find answers to the questions regarding the given approach. For any suggestions please contact us by e-mail: a.k.yakimov@gmail.com tel.: +38(067)7982200
6,204 views since 8/11/2011
Comments (15)
The longest follow-up is about 2.5 years. There's no specific uveitis observed in any case. Tnx God! :)
How long is your follow up until now? Did any of the patients develop any sort of uveitis?
amazing .... nvr thought i wud live to c this :) nice work keep it up sir
excellent video and thinking. congratulations ..
While interesting, I am not sure of the utility of this technique. First I question lens choice, in such a procedure I would much rather use a spherical lens as centration of the lens will surely be an issue with this technique. Secondly the belief of the importance of the capsular bag intrigues me. I believe the reason the problems mentioned at the beginning of the video occur are because a cataract surgery has now become a vitreoretinal surgery, and not because of the lack of the bag itself. It seems to me that corneal problems are likely a result of vitreo-corneal touch, retinal detachments and CME are likely due to viteous traction, I am not sure how this is an advantage over a scleral or iris sutured lens. As for re-establishing a lens iris diaphragm if you are going to make an argument for the need of a capsular bag, why not the need for zonule attachments 360 degrees and not just at 2 points? You can make the argument that a isolated zonular dyalisis can disrupt the lens iris diaphragm without any change to the native capsule.
Quite an out of the box thinking and demonstrating.However I see no role for the donar capsular bag in the first place.Fixing the scleral fixated lens wound be easer and without fear of rejection then the rejectable donar cap.bag.Dr.Raju Manthalkar, India
Fantastic, really fantastic. Although an interesting point would be the body's response to long-term versus scleral sutured IOL.
Fantastico, realmente fantastico. Aunque un punto interesante sería la respuesta del organismo a largo plazo versus sutura de IOL a esclera.
At present time the Capsule Fixation Device is available only in Ukraine. It is produced by Joint Ukrainian-American Venture with foreign investment «Intraocular lens laboratory - clinics US OPTICS», LLC e-mail: usoptics@mail.ukrtel.com
Very interesting. This device is something like the Ahmed Capsular Tension Segment. Where can one buy it?
I have to say, that's a pretty remarkable procedure. But is an ACIOL really that bad?
Thank you! Sulcus sutured lenses doesn't restore iris-lens diaphragm. If you need to use silicone oil tamponade it's presence will be crucial.
very interesting video, congratulations! but, do you tink this could be a real alternative to sulcus sutured lenses
We perform standard tests as for donor material for penetrating keratoplasty: hepatitis B, C, HIV detection and Wasserman reaction
its very interesting. what test do you do to the donor ?