Pseudoexfoliation: Small Pupil, Loose Zonules

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Phacoemulsification of a moderate cataract in the presence of pseudoexfoliation. Issues of poor dilation and lax zonules are encountered and managed.

Posted: 3/06/2013

Pseudoexfoliation: Small Pupil, Loose Zonules

Phacoemulsification of a moderate cataract in the presence of pseudoexfoliation. Issues of poor dilation and lax zonules are encountered and managed.

Posted: 3/06/2013

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Comments

aslan aykut

11 years ago

in my experience for separation of nucleus segments, if you apply equal pressure for both sides, you should not fear for zonular stress, even for very weak zonules. there is a wide safe zone

Ali makateb

11 years ago

while separating two segments of nucleus during vertical chop, is there any limit for separation? you separated them too much..doesn't it stress the zoules?

elizabeth small

12 years ago

Brilliant. Now the IOL and CTR can never dislocate. Thanks for the explanation.

Jason Jones

12 years ago

Never say never. Likely more stable but time will inform us if this is better. Thank you for your interest.

ari weitzner

12 years ago

world-class surgeon

Jason Jones

12 years ago

The 3pc IOL had the optic captured in the CCC. This effectively stabilizes the capsular bag/CTR/IOL complex by permitting the haptics to contact the ciliary body. Note the lack of pseudophacodonesis.

elizabeth small

12 years ago

After having successfully placed the CTR in the capsular bag, why did you place the IOL in the sulcus rather than the bag?

Ted Fromm

12 years ago

What is the name of that spatula that you are using in this case

Jason Jones

12 years ago

modified Batlle ICL manipulator from Rhein

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