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Soosan Jacob FRCS
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This was a patient with corneal tear and an anterior capsular tear with posterior extent not visible. I have used the vitreoretinal micro-scissors and Dr. Brian Little's "Little rhexis trick" to get an adequately sized rhexis. Management of nucleus in the presence of a torn, incomplete rhexis was supra-capsular in order to avoid stress to the capsule and resultant extension of the anterior capsular tear. IOL was implanted in the bag. The single corneal suture was applied to the self sealing corneal wound to avoid wound leak during phaco. It was removed in the early post-operative period to avoid irregular astigmatism. [No narration]
Posted: 11/26/2013
Soosan Jacob FRCS
This was a patient with corneal tear and an anterior capsular tear with posterior extent not visible. I have used the vitreoretinal micro-scissors and Dr. Brian Little's "Little rhexis trick" to get an adequately sized rhexis. Management of nucleus in the presence of a torn, incomplete rhexis was supra-capsular in order to avoid stress to the capsule and resultant extension of the anterior capsular tear. IOL was implanted in the bag. The single corneal suture was applied to the self sealing corneal wound to avoid wound leak during phaco. It was removed in the early post-operative period to avoid irregular astigmatism. [No narration]
Posted: 11/26/2013
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Just Now
Prasert Chiaprasert
11 years ago
The art of rhexis and IOL implantation