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John Kanellopoulos MD
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John Kanellopoulos, MD, presents the challenging case in a previously vitrectomized eye. During surgery for an acute retina detachment, the posterior capsule was knicked with the vitrector resulting in a big posterior capsule rent. In this video, Dr. Kanellopoulos demonstrates his strategy for cataract removal.
Posted: 7/10/2013
John Kanellopoulos MD
John Kanellopoulos, MD, presents the challenging case in a previously vitrectomized eye. During surgery for an acute retina detachment, the posterior capsule was knicked with the vitrector resulting in a big posterior capsule rent. In this video, Dr. Kanellopoulos demonstrates his strategy for cataract removal.
Posted: 7/10/2013
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Prasert Chiaprasert
12 years ago
Not every cases can do like this. The other choice is IOL Scaffold Technic by Soosan Jacob
Mehdi Ghajarnia
12 years ago
Dr. K very nice video and case but there is no logical techniques in avoiding nuclear and cortical drop and seems like you treated it as a normal case despite the capsular compromise. The only difference was the choice of lens. Lucky case but could certainly have dropped a lot more posteriorly and extended the capsular tear more with our fluidics.
ari weitzner
12 years ago
agree, dr ghajar. with posterior capsule open, i would have very aggressively put viscoat over the capsule and elevated nuclear frags into ac, and then slow aspiration as much as possible. otherwise, great risk in losing the nucleus.
ari weitzner
12 years ago
error was not filling the ac before removing irrigator- this allowed for the small piece of cortex to fall into vitreus, and also exposed risk of vitreous prolapse. thanks for posting!