Cataract Surgery in an Eye with Weak Zonules Using Capsule Support Hooks
An 80-year old woman was referred for cataract management with diffuse zonulolysis. Uneventful surgery was facilitated by trypan blue capsule staining, MST capsule support hooks and a CTR.
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Comments (3)
Tom: I always prefer to empty the capsule bag and then place the ring of choice at that time. I only place a ring early if I need to stretch the bag or help center it. Placing the ring as late as I can, but as early as I must, to quote Ken Rosenthal, makes is easier to remove the cortex, prevents me from placing a ring in an eye with a broken capsule or anterior capsulorrhexis, and allows me to make a decision regarding the type of ring I wish to place. Marcos: Sorry for the late reply; just saw your post. The tonometer has two rings; the outer is set a t 15 mm Hg and the inner is 21 mm Hg. It is made by Ocular Instruments and is the Terry-Kratz model (or something similar)
dr masket thanks for shaing this great video. did you consider placing the ring earlier prior to lens removal? how do you decide. thanks tom o
Thanks for excellent video and for incision closure tips. What is the range of the Barraquer tonometer used ? Do you previously check incision stability with overpressure ? Thanks