Phacoemulsification in a Patient With True Exfoliation Syndrome

Show Description +

An 82-year-old patient presented with complaints of reduced vision. Slit-lamp examination showed she had an extra layer of the anterior capsule floating in the anterior chamber. No phacodonesis was demonstrable, despite bilateral 3+ nucleosclerotic cataracts. The rest of the ocular examination was normal. The patient underwent phacoemulsification under topical anesthesia. After making a temporal clear corneal incision, we instilled vision blue to view the extra layer of capsule in the anterior chamber. Next, we carefully made a capsulorhexis to remove the extra layer of capsule without leaving any tags of the CCC's margin. The rest of the phaco procedure was unremarkable, and we implanted a single-piece acrylic IOL (Rayner C-flex) in the capsular bag.

Posted: 7/10/2013

Phacoemulsification in a Patient With True Exfoliation Syndrome

An 82-year-old patient presented with complaints of reduced vision. Slit-lamp examination showed she had an extra layer of the anterior capsule floating in the anterior chamber. No phacodonesis was demonstrable, despite bilateral 3+ nucleosclerotic cataracts. The rest of the ocular examination was normal. The patient underwent phacoemulsification under topical anesthesia. After making a temporal clear corneal incision, we instilled vision blue to view the extra layer of capsule in the anterior chamber. Next, we carefully made a capsulorhexis to remove the extra layer of capsule without leaving any tags of the CCC's margin. The rest of the phaco procedure was unremarkable, and we implanted a single-piece acrylic IOL (Rayner C-flex) in the capsular bag.

Posted: 7/10/2013

Please log in to leave a comment.

Comments

Allon Barsam

13 years ago

Great video and nice surgery Mo.

Sidney Chang

13 years ago

Nice work Mohammed!

More in Cataract

Complex Exchange

Ashraf Armia, MD

Laser-Assisted Repositioning

Vladimir Pfeifer, MD

Save the Bag

Eitan Livny, MD

Floaters

Daria Melnykova, MD; S.G. Saksonov, MD; A.S. Teslenko, MD; and A.V. Korobova, MD