content top

Dislocated Nucleus: The Vitreous Cutter Is not Superman

Management of posteriorly dislocated nucleus depends on the density of the cataract. relatively soft nuclei can be managed in situ, however dense nuclei need floatation into the anterior chamber, then either an anterior chamber phaco fragmentation is performed or the nucleus is delivered via a cornel/ corneoscleral wound. I present 2 cases: Case 1: Average density nuclear fragment. i performed a Bimanual mechanical manipulation and...

Read More

Three Cases of Pars Plana Lensectomy & Intrascleral IOL Fixation in Patients with Cataract and Low Endothelial Cell Count

Dae Yune Kim_SCIENTIFIC POSTER 2015 Purpose: To report 3 cases of pars plana lensectomy and intrascleral intraocular lens(IOL) fixation in patients with cataract and very low endothelial cell count. Methods: 3 patients had pars plana lensectomy and intrascleral fixation of IOL fixation. Endothelial cell counts were 489, 565, and 520 respectively. Two patients had guttata, and one patient had iridocorneal endothelial syndrome, After removing...

Read More

Post-traumatic Anterior Lens Displacement: A Dystocic Labour

Introduction: Ectopia Lentis or lens displacement, may be congenital, developmental or acquired, and the most common cause is trauma. Anterior displacement of the lens is an ophthalmological emergency, due to the risk of absolute pupillary block and irreversible corneal decompensation. Although the history of trauma is usually immediate or recent, it might have happened months or years before the luxation episode. Case Report: The authors...

Read More

A «Cascade» of Retinal Problems After a Complicated Cataract Surgery

Introduction: Nowadays cataract surgery is the most frequent eye procedure overall the world. In an experienced hand the complications are very limited. Neverthless, they happen and can even induce blindness. Clinical Case: The authors present one case of a patient with a cataract that was submited to a phaco with introduction of an I.O.L. in the posterior chamber. The procedure was complicated with posterior capsule rupture and vitreous...

Read More

Cataract with Iridophacodonesis: How to Treat it?

Advantages: To treat a cataract with an advanced Iridophacodonesis in a patient suffering scleroderma avoiding lens luxation inside the vitreous cavity Methods: Our surgical technique consists of the following: conjunctival peritomy, two scleral lamellar flaps, 23 G vitrectomy, PFCL to protect the posterior pole, 150° corneal incision, cataract extraction and suture lens fixation in the sulcus. Effectiveness/Safety: Advanced...

Read More

The Turning Technique for Intravitreal Dislocated Crystalline Lens

Purpose: Aim of this video is to show a technique to remove a dislocated lens from the vitreous cavity using pars plana vitrectome. The author of this video suggests that this technique is more safe and convenient than generally used techniques using endo fragmentor or vitrectome. Methods: The video presents a case of 60-year-old women with non-penetrating injury to her right eye with complete zonulolysis and crystalline lens dislocation...

Read More
content top