The Easy Way or the Hard Way

Carol A. Drake MD

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Carol A. Drake, MD, presents a 16-week-old with congenital cataracts and nystagmus. The first eye done with one piece acrylic IOL, pars plicata vitrectomy which was complicated by iris prolapse. The second eye procedure with an anterior vitrectomy and 3-piece IOL in the sulcus with optic capture. Pre-surgical and 6 month postoperative eye movements are shown.

Posted: 11/05/2012

Keywords:

Cataract

•

Cataract Surgery

•

Cataract

•

Nystagmus

•

Pediatric

•

Vitrectomy

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The Easy Way or the Hard Way

Carol A. Drake MD

Posted: 11/05/2012

Keywords:

Cataract

•

Cataract Surgery

•

Cataract

•

Nystagmus

•

Pediatric

•

Vitrectomy

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Comments

Carol Drake

12 years ago

Thanks Eileen, they are excellent suggestions. I tend to make my incisions really limbal in babies so I get quicker healing but I will definitely give this a try. Just hope i don't have to do one like this too soon. Carol

ari weitzner

12 years ago

can you use a malyugin in these eyes? i dont see why, and its better than hooks

Eileen Wayne

12 years ago

Difficult case well done. You might try rotating your iris retractors 45 degrees from a square to a diamone. Start the retractor paracentesis in sclera, parallel to the iris. Insert the retractor parallel to the iris & UNDER your main & UNDER your sideport incisions. Your other 2 retractors do not have to be parallel to the iris. Iris lift is actually helpful to visibility. It is impossible to prolapse the iris with the retractor UNDER the incisions & flat on the anterior capsule (as opposed to iris being lifted up off the capsule.) The long arm of the retractor holds your iris down. You also have more room when working on the diagonal rather than the square. Thank you for sharing a rare case. EileenWayneMD@aol.com 309 736-0808

The Easy Way or the Hard Way

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The Easy Way or the Hard Way

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