Dr. Nirupama Kasturi

Associate Professor, Department of Ophthalmology, Jawaharlal Postgraduate Medical Education and Research, Puducherry-605006, India

2 articles

Dr. Nirupama Kasturi completed her undergraduate and post-graduate training from JIPMER and received the endowment prize for the best student in college. She did her fellowship in Paediatric Ophthalmology and Strabismus from Narayana Nethralaya in 2012, and is currently working as Associate professor in Ophthalmology at JIPMER. She is passionate about teaching and is currently training undergraduates, post-graduates along with nursing and optometry students in the institute. She has around 25 publications in indexed journals and authored a few book chapters. She is also an assistant editor and reviewer of the Indian Journal of Ophthalmology.

  1. Articles 20 Jul 2021 12 min read

    Ten Pearls for the Management of Posterior Capsular Rupture

    Posterior capsular rupture (PCR) is an important complication of cataract surgery whose timely recognition and appropriate management can ensure a good visual outcome. Here are ten pearls for its prevention and management. Pearl 1: Understand the risk/predisposing factors It is imperative to assess the preoperative and intra-operative risk to prevent the development of a PCR. Elderly, anxious, and uncooperative patients are at a higher risk of developing posterior capsular rupture. Extraocular factors include a deep socket, narrow palpebral fissures, exaggerated bell’s phenomenon, hazy cornea, and intraocular factors are poor mydriasis, shallow or excessively deep anterior chamber, pseudoexfoliation, and type of cataract (like posterior polar, traumatic, post-intravitreal injections, intumescent or hard cataract), previous vitrectomy or oil-filled eyes. Surgical factors like inexperience of the surgeon, leaking incisions, small capsulorhexis, radial tears in rhexis, fluid imbalance in

  2. Articles 1 Apr 2021 9 min read

    Ten Pearls for Phacoemulsification in a Soft Cataract

    Soft cataracts are usually seen in pediatric or young adult patients. We encounter them more frequently nowadays due to the increasing patient awareness and evolving lifestyle requirements which bring the patients earlier to the clinic. Another important reason behind the increasing number of soft cataracts in our surgical practice is the fact that the number of pars plana vitrectomies is increasing and we tend to perform combined cataract surgery with pars plana vitrectomy in patients with early cataract. Soft cataract phaco can be quite challenging especially in situations where the pupil starts coming down in the face of an uncooperative patient and positive posterior pressure during surgery. It is no surprise that soft cataract has been termed as “Neither Here-Nor-There” cataract! We will be offering 10 pearls on how to successfully manage such cases with good outcomes. Pearl 1: Need for precise IOL calculations: Most soft cataracts encountered in younger visually active patients c