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Michael J. Taravella, MD, Mile High Ophthalmics
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Dr. Taravella creates a capsulorhexis using the VERUS ophthalmic caliper.
Suggested steps for successful use of the VERUS ophthalmic caliper:
1. Create incisions and fill eye with VE as typically done.
2. Insert VERUS through main wound using Y hook, Kuglen, Duets or similar device and place over anterior capsule surface.
3. Allow 1/4 to 1/3 of VE to exit main wound.
4. Enter eye with VE cannula and tap down on VERUS every 1-2 clock hours while injecting over the VERUS pushing it against the capsule for stability and proper creation of a CCC and simultaneously refilling the anterior chamber.
5. Use the cystotome or forceps to start the rhexis. The initial anterior capsular flap should not be guided directly to the inner edge of VERUS rather, the flap should be kept short of the inner rim by 1-2mm and then lifted by forceps and walked tangentially to the inner rim while maintaining a vertical orientation along the inner rim of VERUS.
6. Use Duet forceps (preferred) or other capsulorhexis forceps to grab the capsule and walk along the inner rim of VERUS while keeping the capsule vertically oriented against the device for 360 degrees.
7. Remove VERUS with a Sinskey hook or capsulorhexis forceps.
8. Complete cataract surgery as per routine.
Posted: 3/16/2015
Michael J. Taravella, MD, Mile High Ophthalmics
Dr. Taravella creates a capsulorhexis using the VERUS ophthalmic caliper.
Suggested steps for successful use of the VERUS ophthalmic caliper:
1. Create incisions and fill eye with VE as typically done.
2. Insert VERUS through main wound using Y hook, Kuglen, Duets or similar device and place over anterior capsule surface.
3. Allow 1/4 to 1/3 of VE to exit main wound.
4. Enter eye with VE cannula and tap down on VERUS every 1-2 clock hours while injecting over the VERUS pushing it against the capsule for stability and proper creation of a CCC and simultaneously refilling the anterior chamber.
5. Use the cystotome or forceps to start the rhexis. The initial anterior capsular flap should not be guided directly to the inner edge of VERUS rather, the flap should be kept short of the inner rim by 1-2mm and then lifted by forceps and walked tangentially to the inner rim while maintaining a vertical orientation along the inner rim of VERUS.
6. Use Duet forceps (preferred) or other capsulorhexis forceps to grab the capsule and walk along the inner rim of VERUS while keeping the capsule vertically oriented against the device for 360 degrees.
7. Remove VERUS with a Sinskey hook or capsulorhexis forceps.
8. Complete cataract surgery as per routine.
Posted: 3/16/2015
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Comments
Just Now
Jay mahida
1 year ago
My email address is eye0078@gmail.com. please forward details for buying this device.
Jay mahida
1 year ago
Hi Dr, I am practicing in India. It would be appreciated if you could provide link and other details to buy this device on line.Thank you
Dr Amar Lavudiya
4 years ago
Where is it available now? Which company is marketing it?
ari weitzner
10 years ago
takes too long. maybe worth it in difficult rhexis cases like white lens under pressure
Eye Doc
10 years ago
Seems like a worthwhile device for Toric and MF lenses. Would be great for trainee residents and especially surgeons starting phaco in emerging markets. You don't get a second chance at a perfect rhexis. If cost is under $50, might have a role globally. Great video Mike.