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Howard Gimbel MD
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Howard Gimbel, MD, employs multiple instruments to achieve a CCC in an extremely fibrotic capsule of a pediatric patient with longstanding uveitis. The capsule resists tearing by the cystotome and forceps so Dr. Gimbel employs vitreoretinal scissors to cut through the capsule. For the best results with Trypan Blue staining, Dr. Gimbel recommends painting the capsule under OVD.
Posted: 2/27/2015
Howard Gimbel MD
Howard Gimbel, MD, employs multiple instruments to achieve a CCC in an extremely fibrotic capsule of a pediatric patient with longstanding uveitis. The capsule resists tearing by the cystotome and forceps so Dr. Gimbel employs vitreoretinal scissors to cut through the capsule. For the best results with Trypan Blue staining, Dr. Gimbel recommends painting the capsule under OVD.
Posted: 2/27/2015
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Arthur Jordan
10 years ago
Dr Gimbel shows great patience and excellent technique. I am sure the patient benefited greatly. I recently had a similar case in which I first tried using the Femto laser(Lensar). The OCT on the Femto was unable to identify b/t the iris and the capsule.
luis navarro
10 years ago
Thanks Dr. Gimbel. I agree this could be one of those cases to perform FLACS rather than conventional manual CCC.
Rahman Faizur
10 years ago
nice
Frank Jenssen
10 years ago
Thank you for sharing this. I had a somewhat more challenging case in a uveitic eye (traumatic?) where I had to use scissors mainly all the way around. i have never in my life experienced such a fibrotic capsule. It also added to the problems the lack of staining with VisionBlue. In my case the lens was intumescent and the outflow of liquified cortex obscured the view throughout the procedure. Finally I was able to use IA to aspirate the liquified cortex, leaving behind rockhard lens material impossible to aspirate or phacoemulsify. So I manually had to pick out the small pieces one by one (adding a lot to the long operation time) Unfortunately I was not able to film this case.