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Tal Raviv MD, FACS
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With the eye's functioning bleb, monocular status, and very symptomatic visual loss, I elected to proceed with straight cataract surgery. I counseled the patient on all possible contingencies.
There were three keys to success in this case. First, I displaced my normally temporal wound and paracentesis about 30 degrees counterclockwise to avoid any proximity to the thin filter. Secondly, I carefully tracked my anterior capsular leading edge during capsulorhexis. The bleb created a significant blind zone, during which maintaining hold of the capsule flap was important. Finally, I employed a supracapsular technique, which of all nuclear dissasembly techniques, can be performed with the least amount of visibility, as illustrated in the accompanying video. The patient had an excellent postoperative result, with maintained IOP control off medications, and a good visual outcome.
Posted: 5/23/2014
Tal Raviv MD, FACS
With the eye's functioning bleb, monocular status, and very symptomatic visual loss, I elected to proceed with straight cataract surgery. I counseled the patient on all possible contingencies.
There were three keys to success in this case. First, I displaced my normally temporal wound and paracentesis about 30 degrees counterclockwise to avoid any proximity to the thin filter. Secondly, I carefully tracked my anterior capsular leading edge during capsulorhexis. The bleb created a significant blind zone, during which maintaining hold of the capsule flap was important. Finally, I employed a supracapsular technique, which of all nuclear dissasembly techniques, can be performed with the least amount of visibility, as illustrated in the accompanying video. The patient had an excellent postoperative result, with maintained IOP control off medications, and a good visual outcome.
Posted: 5/23/2014
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Just Now
ari weitzner
11 years ago
i saw a great video where the excess bleb is simply trimmed at the limbus with no sequelae. it seems the bleb is actually made up of many channels and spaces, so one can trim it and the rest of the bleb works fine.