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Jason Jones MD
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During this routine cataract surgery a complication occurred early in the course of procedure when the surgeon's hand was inadvertently pushed during an instrument hand-off. With some fortunate maneuvers the nucleus and cortex were removed successfully. A limited bimanual anterior limbal-based vitrectomy rectified a small amount of vitreous prolapse, and a 3-piece sulcus lens centered well. The patient did well postoperatively without sequelae.
Posted: 11/03/2015
Jason Jones MD
During this routine cataract surgery a complication occurred early in the course of procedure when the surgeon's hand was inadvertently pushed during an instrument hand-off. With some fortunate maneuvers the nucleus and cortex were removed successfully. A limited bimanual anterior limbal-based vitrectomy rectified a small amount of vitreous prolapse, and a 3-piece sulcus lens centered well. The patient did well postoperatively without sequelae.
Posted: 11/03/2015
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Just Now
Jason Jones
9 years ago
Triamcinalone staining of vitreous is extremely helpful and had I not felt the vitrectomy was complete I would have stained the vitreous. A PI is not necessary in my experience with a sulcus lens. Thanks for your interest.
marcos gomez
9 years ago
Thanks for your excellent video! One question why you didn´t use triamcinolone vitreous stain and when do you consider iridectomy?
lawrence frank
9 years ago
Nice recovery! Did you consider reverse optic capture for added stability of the bag? Larry
Jason Jones
9 years ago
ROC is not appropriate in this case with a discontinuous capsular opening and significantly damaged zonules. If either of this issues were normal then ROC would be applicable.