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Ike Ahmed, MD
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Ike Ahmed, MD, shares a case for the ages... a bungee cord injury to eye. The traumatic severely dislocated cataract, barely hanging with maybe literally 1-2 zonules (ligaments) intact, vitreous prolapse, atonic fixed dilated pupil, and glaucoma with very high pressure of 50mmHg. The case is managed with vitrectomy, anterior levitation of lens using Ahmed Micro-Graspers (MicroSurgical Technology) forceps assisted with scleral depression, iris hooks to hold edge of rhexis during capsular opening, two of Ahmed Capsular Tension Segments (CTS) sutured to sclera with gore-tex and capsular tension ring, phaco, then intraocular lens in capsular bag. Then pupil sutured with 10-0 Prolene iris cerclage and finally placement of an Ahmed Glaucoma Valve (New World Medical). The surgery was performed in 1.5 hours under local topical/subTenons anesthesia while talking to the patient and teaching medical trainees.
Posted: 12/04/2017
Ike Ahmed, MD
Ike Ahmed, MD, shares a case for the ages... a bungee cord injury to eye. The traumatic severely dislocated cataract, barely hanging with maybe literally 1-2 zonules (ligaments) intact, vitreous prolapse, atonic fixed dilated pupil, and glaucoma with very high pressure of 50mmHg. The case is managed with vitrectomy, anterior levitation of lens using Ahmed Micro-Graspers (MicroSurgical Technology) forceps assisted with scleral depression, iris hooks to hold edge of rhexis during capsular opening, two of Ahmed Capsular Tension Segments (CTS) sutured to sclera with gore-tex and capsular tension ring, phaco, then intraocular lens in capsular bag. Then pupil sutured with 10-0 Prolene iris cerclage and finally placement of an Ahmed Glaucoma Valve (New World Medical). The surgery was performed in 1.5 hours under local topical/subTenons anesthesia while talking to the patient and teaching medical trainees.
Posted: 12/04/2017
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Comments
Just Now
Kam balaggan
7 years ago
Hi Ike, how did this patient do in the long term? Any retinal detachment?
Radu Ivanescu
7 years ago
excellent surgery!
ari weitzner
7 years ago
good lord...
aleksej medic
7 years ago
Please could you tell me what size of gore-tex suture was used? Thanks
nasri nabila
7 years ago
great....
Craig Gerstein
7 years ago
I noticed that you bend the 25 gauge needle...please share your reasoning and methods..Thanks