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Steven Siepser MD
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The author describes a technique of removing vitreous condensation, old hemorrhage or asteroid hyalosis directly through a posterior capsulorrhexis. This technique improves visual performance and a decrease in aberrations due to vitreous anomalies. Patients report improved vision and less distraction from annoying vitreous floaters. A safe and effective way of delivering superior care with premium implants to help patients achieve their visual best.
Posted: 12/10/2013
Steven Siepser MD
The author describes a technique of removing vitreous condensation, old hemorrhage or asteroid hyalosis directly through a posterior capsulorrhexis. This technique improves visual performance and a decrease in aberrations due to vitreous anomalies. Patients report improved vision and less distraction from annoying vitreous floaters. A safe and effective way of delivering superior care with premium implants to help patients achieve their visual best.
Posted: 12/10/2013
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Nikoloz Labauri
11 years ago
Dear Dr. Siepser The technique is good, and thank you for showing us the different way to do the things. but still let me put some comments what I think ...... 1) Posterior CCC and blind core vitrectomy can be done via pars plana using 25 or 27G cutters with valved trocars - after you have implanted IOL intrabag. it would be less traumatic, less challenging , more precise to do round rhexis and less fare to tear the posterior CCC while implanting the IOL. 2) while using Crystalens you need the anterior core vitreous INTACT, as we all now the theory how it works. Ciliary body relaxes and in the same time pushes peripheral vitreous posteriorly and squeezes central / core vitreous anteriorly to push the optic forward and accommodate. Once you have done vitrectomy there is no sense to use Crystalens IOL, because It gives you less effect on accommodation. 3) constant IOP control while doing Anterior Vitrectomy with this techniqe is affected which may increase traction and breaks formation and even you use indirect ophthalmoscope with depression on the hypotonic eye you may miss the break(s) easily. Otherwise technique is great . thanking you once again. Nikoloz