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Phacoemulsification and endoscopic cyclophotocoagulation (ECP) under topical anaesthesia for patient who can't lie flat with surgeon in standing position

Poster Details

First Author: N.Alqahtani SAUDI ARABIA

Co Author(s):    H. Hussain                    

Abstract Details


To describe the technique of combined Phacoemulsification and (ECP) under topical anaesthesia with standing surgeon and patient in semirecumbent position.


This case reported at ophthalmology center in King Abdullah Medical City, Makkah, Saudi Arabia


This is a case report of Combined phacoemulsification, Intraocular lens (IOL) implantation and Endoscopic cyclophotocoagulation (ECP) under topical anaesthesia with 0.4% oxybuprocaine hydrochloride for the right eye of a 79 year- old obese male, smoker with diabetes , hypertension and ischemic heart disease who can not lie flat due to shortness of breath. Procedure was done while the patient in semirecumbent position with surgeon in standing position to the right side of patient head. The footplates of Phaco machine and microscope were to left and right side of the surgeon, respectively, with using one footplate at a time.


Intraoperative and postoperative period were uneventful with good visual outcome and controlled intraocular pressure after surgery .


Combined phacoemulsification, IOL implantation and ECP under topical anaesthesia for patient who can not lie flat and at higher risk for general anaesthesia, can be done safely and effectively while patient in semirecumbent position and surgeon is standing.

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