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Managing nucleus/segment in situ, in posterior capsular rupture (PCR) during phacoemulsification, by extending corneal tunnel into the sclera

Poster Details

First Author: V.Sahni INDIA

Co Author(s):    K. Agarwal   M. Khattri           

Abstract Details


To demonstrate technique of conversionby extending corneal tunnel into the corneo-scleral tunnel in PCR with nucleus/segment in situ during phacoemulsification


Kaushalya Devi Eye Institute Pilibhit UP India.


In this technique, after making conjunctival flap, corneal incision is extended into sclera on both sides using keratome. Nucleus/segment is brought into anterior chamber and removed using wire vectis and Sinseki hook. After putting IOL in sulcus wound is Hydrated and checked for any leaks.


This technique gives excellent results. Using same incision, and extending it into the sclera, results in smaller incision, better wound architecture and either there is no need of stitches or just a single stitch is required. Making incision this way (frown shaped) results in lesser astigmatism


This conversion technique for managing nucleus/segment in situ in cases of PCR uses same incision by extending it into sclera, gives better wound architecture and lesser post operative astigmatism.

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