IOL Implantation with Cionni CTR in Subluxated Traumatic Cataract in Pediatric Patient

Maneesh Bapaye MD

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A 8-year-old child presents with a grossly subluxated cataractous lens following blunt trauma from a cricket ball. Intraoperatively 180 degrees of subluxation can be seen. After staining the capsule with trypan blue, Maneesh Bapaye, MD, breaks posterior synechia with an iris spatula. A 23G cutter is use to complete the rhexis after an area of fibrotic anterior capsule breaks off. The cortex is debulked with a cutter and some of the lens material is left in the eye to stabilize the bag during the reminder of the procedure. After a Cionni capsular tension ring was placed in eye, the cutter removed the rest of the cortical material and a foldable three piece lens was placed in the sulcus.

Posted: 11/12/2010

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Name: IOL Implantation with Cionni CTR in Subluxated Traumatic Cataract in Pediatric Patient
Uploaded: 2010-11-12T17:29:00+00:00

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IOL Implantation with Cionni CTR in Subluxated Traumatic Cataract in Pediatric Patient

Maneesh Bapaye MD

Posted: 11/12/2010

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Comments

Maneesh Bapaye

14 years ago

Hi Dr.Gustavo, I was unsure of integrity of rhexis since it was done with vitreous cutter. Did not want to attempt in the bag implantation at the risk of posterior extension of rhexis. Since it was a multipiece lens , sulcus implanation was safely possible.

Gustavo Castro

14 years ago

I didn't understand why the iol was implanted in the sulcus in a children. All conditions was favorable to put the iol in the bag (CTR, well centered bag, not torn capsulotomy).

Giuseppe Spagnolo

14 years ago

Good job! I would have cut posterior iris sinchiae later, in order to ensure further bag stability. Dr. G.Spagnolo

Maneesh Bapaye

14 years ago

Dear Dr. Spagnolo, Thank you for valuable suggestion. I will try it out next time.

Bhushan Khare

14 years ago

hi maneesh could u have done a central posterior capsulotomy with the cutter as well

yavuz s. day?oglu

14 years ago

THANKS YOU FOR GOOD OPERAT?ON

IOL Implantation with Cionni CTR in Subluxated Traumatic Cataract in Pediatric Patient

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IOL Implantation with Cionni CTR in Subluxated Traumatic Cataract in Pediatric Patient

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