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Jason Jones MD
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During this routine cataract surgery a complication occurred early in the course of procedure when the surgeon's hand was inadvertently pushed during an instrument hand-off. With some fortunate maneuvers the nucleus and cortex were removed successfully. A limited bimanual anterior limbal-based vitrectomy rectified a small amount of vitreous prolapse, and a 3-piece sulcus lens centered well. The patient did well postoperatively without sequelae.
Posted: 11/03/2015
Jason Jones MD
During this routine cataract surgery a complication occurred early in the course of procedure when the surgeon's hand was inadvertently pushed during an instrument hand-off. With some fortunate maneuvers the nucleus and cortex were removed successfully. A limited bimanual anterior limbal-based vitrectomy rectified a small amount of vitreous prolapse, and a 3-piece sulcus lens centered well. The patient did well postoperatively without sequelae.
Posted: 11/03/2015
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Jason Jones
10 years ago
Triamcinalone staining of vitreous is extremely helpful and had I not felt the vitrectomy was complete I would have stained the vitreous. A PI is not necessary in my experience with a sulcus lens. Thanks for your interest.
marcos gomez
10 years ago
Thanks for your excellent video! One question why you didn´t use triamcinolone vitreous stain and when do you consider iridectomy?
lawrence frank
10 years ago
Nice recovery! Did you consider reverse optic capture for added stability of the bag? Larry
Jason Jones
10 years ago
ROC is not appropriate in this case with a discontinuous capsular opening and significantly damaged zonules. If either of this issues were normal then ROC would be applicable.