'crack, reduce, and implant': A safe phaco technique in a case with hard brown cataract
Autor: | Volkan Yaylali, Ibrahim Toprak |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
visual acuity genetic structures medicine.medical_treatment trypan blue very elderly lcsh:Medicine Case Report Intraocular lens 030204 cardiovascular system & hematology B scan Article 03 medical and health sciences 0302 clinical medicine slit lamp microscopy Ophthalmology medicine pseudophakia case report antibiotic agent human Iris (anatomy) Capsulorhexis clinical article tonometry business.industry lcsh:R General Medicine retrobulbar anesthesia Brown cataract hard brown cataract incision Anterior capsule aged capsulorhexis Posterior capsule medicine.anatomical_structure female dissection cataract Capsular bag phacoemulsification Implant disease duration puncture business 030217 neurology & neurosurgery anterior lens capsule |
Zdroj: | Case Reports in Medicine, Vol 2019 (2019) Case Reports in Medicine |
Popis: | This report describes two maneuvers in different steps of phaco surgery in a case with hard cataract, which provide debulking of the central dense nucleus and prevents posterior capsule rupture (PCR). In the current case, clear corneal incisions were created, and anterior chamber was filled with ophthalmic viscosurgical device (OVD). Anterior capsule was punctured, and capsulorhexis was completed. Nucleus was cracked into two halves following vertical groove formation. Core nucleus was hollowed sideward bilaterally in the capsular bag. Nuclear halves were removed from capsular bag, and each one was pushed to one side on the iris plane. Capsular bag was inflated with OVD, and intraocular lens (IOL) was implanted. Nuclear halves were removed in confidence. The presented maneuvers initially reduce dense nucleus load in the safe zone and allow surgeon to use IOL as a barrier to protect floppy posterior capsule from early steps of the surgery. © 2019 Ibrahim Toprak and Volkan Yaylali. |
Databáze: | OpenAIRE |
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