ESCRS - PO274 - The Significance Of As Oct For Premium Cataract Surgery

The Significance Of As Oct For Premium Cataract Surgery

Published 2024 - 42nd Congress of the ESCRS

Reference: PO274 | Type: Poster | DOI: 10.82333/kbxs-3e13

Authors: Kumar Jayesh Doctor* 1 , shivani pattnaik 1

1cataract and refractive surgery,Doctor Eye institute,mumbai,India

Purpose

the idea of performing AS OCT for premium cataract surgery helps in planning for better and consistent visual outcomes  

Setting

Pre and Post operative AS OCT was done in multiple case scenarios and it has been demonstrated as to how an anterior segment OCT can help in planning a premium cataract surgery. 

Methods

Preoperative AS OCT in various case scenarios like DM detachment (pre and post operative), retained epinucleus material behind the IOL, posterior polar cataract with preexisting dehiscence, post flacs understanding the free floating CCC, to understand the patency of the PI once done, to view extent of subluxated crystalline lens and knowing the presence of vitreous, etc.

Results

Knowing the extent of the DM detachment and the area of attachment, the planning for air bubbling can be done effectively. Planning femto for PPC with preexisting dehiscence and an IOL in the bag placement can also be done successfully. Knowing the status of the PC behind the epinucleus behind the IOL helps in easy planning for safe removal of the same. To plan vitrectomy with capsular hooks in subluxated cataracts for better visual outcomes. 

Conclusions

This is an essential tool in cataract armamentarium for better planning for premium IOLs for consistent better visual outcomes