Ten Points A Surgeon Should Know About the Phaco-probe
1. Basic structure of phaco probe Phaco Probe has two attachments (For aspiration & Irrigation) and one wire coming out of back end for power supply and sensors. In the front there is the tip attached to the hand piece, which has a silicon sleeve around it with two apertures. The irrigation tubing are wider in diameter than aspiration and both tubings are colour coded Fig 1 Basic Structure of Phac...Read More
Top Tips for Toric IOLs for Young Ophthalmologists: Should You Make the Plunge?
The use of TORIC IOL in the modern cataract surgical world has rightfully become a necessary tool for all surgeons. This is because of the demand for customization and the need for great refractive outcomes, rendering all cataract surgeries as “REFRACTIVE CATARACT SURGERIES” today! Patients no longer are happy being dependent on glasses or want to miss the chance of being less dependent on glasses...Read More
Seven Tips for Sideport Construction
Sideport might appear as a small and trivial step in SICS but it has great significance. Improperly constructed side port will give rise to a cascade of events which will complicate the further steps. You can make an ideal side port by employing the following tips. 1. Size Width: A very small side port will pose a lot of problems while instrumentation. It will force multiple attempts to enlarge th...Read More
Ten Pearls of Phacoemulsification with PPC
Posterior Polar Cataract is associated with remnants of Tunica vasculosa lentis. (1) It presents as a white opacity situated on the posterior capsule appearing as a circular plaque with concentric whorls. (2) Surgical management of posterior polar cataracts is a challenge even for skilled surgeons due to high risk of posterior capsular rupture and vitreous loss during surgery. (3) 1. Preoperative ...Read More
Ten Pearls for Tunnel Construction in SICS
SICS is the most commonly performed cataract surgery by young budding surgeons. Young postgraduates are introduced to the world of ophthalmological surgery via SICS. Initially, every new surgeon struggles to make good scleral tunnel and capsulorhexis. These TOP TEN pearls will make young surgeons confident to achieve textbook tunnel. 1. Good Visualization: If you can see well, you can do well. Pro...Read More
Techniques of nuclear delivery in Manual small incision cataract surgery
Manual small incision cataract surgery (MSICS) is now practiced in both developed and developing countries. It involves the extraction of a complete or divided nucleus from the capsular bag through the capsular opening and then through the sclero-corneal tunnel. A number of techniques of nuclear delivery have evolved over the time. These techniques have their own merits and demerits. However they ...Read More
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...Read More
Anterior Vitrectomy Made Easy For Cataract Surgeon
One of the most dreaded complications of cataract surgery is a posterior capsular tear (PCR). Its rate ranges from 1.3% to 9.6% (from skilled surgeons to trainees)1-5. Early recognition of the PCR and skilled management is necessary for good surgical outcomes and to avoid any devastating sequelae. Hence, anterior vitrectomy is an important skill that every cataract surgeon should master. There are...Read More
Management of Subluxated cataract
Zonular compromise complicates every step of cataract surgery and poses a serious challenge in terms of safety and visual outcome. When the lens is displaced from its normal position, it is considered subluxated if it remains in the pupillary area and luxated or dislocated if it is completely displaced from the pupil. Ectopia lentis is the term used to describe congenital dislocations.1 Lens displ...Read More
1. Science behind Multifocal Intraocular Lens (MFIOL) Multifocal intraocular lenses are IOLs which can separate incoming light into two or more foci, thus resulting in multiple coexisting retinal images. At any given point, only one of the images (distance, intermediate or near) is the sharpest, and hence selected by the brain for visualisation. This concept is known as simultaneous vision. The vi...Read More