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Nikoloz Labauri MD
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In this rhegmatogenous retinal detachment case, Nikoloz Labauri, MD, performs phacoemulsification and IOL implantation using chandelier retroillumination instead of microscope light. This is a different way to perform this procedure when the Phacovitrectomy is planned and it carries the advantages of better visualization of the anterior capsule, better assessment of nucleus thickness, safer removal of the cortex, and capsule polishing.
Posted: 3/07/2012
Nikoloz Labauri MD
In this rhegmatogenous retinal detachment case, Nikoloz Labauri, MD, performs phacoemulsification and IOL implantation using chandelier retroillumination instead of microscope light. This is a different way to perform this procedure when the Phacovitrectomy is planned and it carries the advantages of better visualization of the anterior capsule, better assessment of nucleus thickness, safer removal of the cortex, and capsule polishing.
Posted: 3/07/2012
![[2019] Amniotic Membrane Placement for Repair of Recurrent Macular Hole](https://d33x7gwyb2b5z6.cloudfront.net/eyetube/thumbs/gldaw.jpg?auto=compress,format&w=180)
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Just Now
balaji ramanathan
13 years ago
hi how did you calculate the IOL power in the eye which has the detachment.The technique of surgery is excellent.
Nikoloz Labauri
13 years ago
An IOL calculation on detached retina is always a challenge. Before surgery I usually measure AXL of both eyes using B-Scan echography and the calipers. It is not as accurate as A-scan biometry, but if the AXLs are same in both eyes I take K readings from the detached and AXL (taken by A scan Biometry) from the fellow eye. If B-scan measurements of both eyes are not matched (i.e. unilateral High Myopia) I use only B-scan measurement data and the K reading from the same eye to calculate an IOL Power. Thanking you for interesting discussion. If any other method exists in practice which I may not know, I would be glad to see your comments.
Nikoloz Labauri
13 years ago
Dear Colleagues, Indeed, the brightness which is given with retroillumination is less, but you will be able to see a bit more things which you won’t be able to see with microscope light. Thanking you for your comments
George Chichua
13 years ago
Dzalian lamazi shesrulebaa!
Grigor Kamushadze
13 years ago
Excellent surgery Dr.Nikoloz. You are inovative surgeon.
Russ Van Norman
13 years ago
That was interesting. I'm not sure that it showed better visualization of much. Maybe it was the video.
SHALABH SINHA
13 years ago
Very Innovative I must say
ari weitzner
13 years ago
thats pretty cool.