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Session Title: Subluxed IOLs and Scleral Fixation
Session Date/Time: Wednesday 09/10/2013 | 08:00-10:30
Paper Time: 09:37
Venue: E102 (First Floor)
First Author: : N.Bordoloi INDIA
Co Author(s): :
To evaluate the efficacy of intra operative posterior capsular rupture management with the help of a foldable IOL.
Chandra Prabha Eye Hospital, Jorhat,Assam, India
As soon as the PCR is detected the phaco tip is kept at position one and through the side port ample amount of dispersive OVD (combination of Sodium Hyulurinic acid and chondroitin sulphate) is injected to hold back the vitreous. With the help of the chopper and the iris spatula the nucleus fragments are maneuvered to bring to the anterior chamber. Once it is accomplished a foldable IOL of one D less than that of the original one is injected into the AC behind the lens fragments. It is placed on the iris surface. Using slow motion phaco, the fragments are taken out one by one. Then the capsular apparatus is inspected behind the IOL for residual cortex, epinucleus or vitreous. Slow I/A with or without vitrectomy done if necessary. IOL is then repositioned at the sulcus
We have so far managed nine cases of PCR with retained nuclear with the help of this technique. Seven cases had BCVA of 20/30 or better at 3 months check up. Of the 2 cases that had BCVA of 20/40, , one had AMD and the other advanced glaucomatous optic neuropathy. In six cases no I/A or vitrectomy had to be done Case no 3 & 6 required I/A to bring out the residual cortex. Case no 4 needed vitrectomy as additional procedures. This was a case of combined glaucoma and cataract surgery. IOL was placed in the sulcus on 8 of the 9cases. In the 5th case the IOL was fixed to the sclera
: IOL assisted PCR Management (IPM) is technique for everybody as it does not involve any learning curve and acquiring of separate equipment. In fact, it makes life easier for every body as it hardly necessitates vitrectomy.
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