Dr.Mandal A K Stickler syndrome with Pierre Robin Sequence and bilateral congenital glaucoma is a rare disease. The present video highlights the management of such a child of one month age. Simultaneous bilateral primary combined trabeculotomy with trabeculectomy were performed under general anesthesia. Surgery was…
In the life of a phaco surgeon many a times, comes a situation when it appears almost impossible to successfully do a lens implantation.
VT102 – Managing traumatic Retinal detachment and angle recession glaucoma in same sitting: a Novel approach
Dr.Ankur Sinha, Dr.Ajay Pal Singh Jhinja
Traumatic retinal detachment & angle recession glaucoma are few of the most disastrous consequences of blunt trauma. The problem arises when they coexist. The options available to manage dialysis include explants or vitreoretinal surgery.
Dr.Manas Kumar Ghosh
Iris prolapse can lead to increased post operative inflammation, hyphaema, iris transillumination defect, distorted pupil, sometimes vision threatening complication like posterior capsular rent.
Dr.Chekitaan Singh, Dr.Reena Gupta, Dr.Ishwar Singh, Dr.Dhull Chand Singh
Phacoemulsification (phaco) in vascularised corneal opacities is a challenge even for the most seasoned surgeons. We describe a case of successful phaco with IOL implantation in a vascularised macular corneal opacity in a one eyed patient. We begin with peribulbar anaesthesia and creating a conjunctival flap in case a conversion to ECCE or SICS is required intra-op.
Dr.Kodavali Shanthipriya, Dr.Manju R Pillai, Vivek P S, Dr. Avika kanathia
To demonstrate the two methods of administration of MMC in trabeculectomy and to demonstrate the ease, effectiveness of MMC injection over the conventional method of sponges.
Dr.Bansal R K, Dr.Anugya Agrawal
A north Indian female presented with pain and redness of right eye since 7 days. She was earlier diagnosed as a case of PHPV in both eyes. Left eye she had only light perception and right eye Snellen acuity of 6/24 and was under regular follow up before she presented with pain and redness of right eye.
Dr.VIJAY KUMAR SHARMA, Dr.Santosh Kumar, DR.SHRUTI SINHA This patient underwent optical penetrating keratoplasty 08 months back. When reported for follow up at six months, her visual acuity had dropped to HMCF and she was found to have double anterior chamber separated by a descemet membrane…
Dr. Ketan anil merchant
Temporal SICS has advantage of not affecting corneal astigmatism to any significant effect. Hence larger incisions can be used to deliver out hard,bulky nuclei with maximum tissue respect especially to endothelium
Dr.Rahil Chaudhary, Dr.Sanjay Chaudhary, Dr.Malik K P S
Capsulorhexis in white turgid cataract presents a challenge for every young ophthalmologist in training. High Intra Lenticular pressure poses difficulty in controlling the capsulorhexis, and can cause the capsulorhexis to radially tear out or in some cases lead to an argentinian flag sign.
Dr.Manas Nath, Dr.Rengaraj Venkatesh
Traumatic cataracts can pose with medical and surgical challenges to an ophthalmologist. Management becomes complicated by the presence of preoperative zonular dialysis, posterior capsular tear, coexisting trauma to the iris or cornea, and poor visualization. Cataract surgery in such a situation, to give best possible vision for the patient becomes challenging but is not impossible.
Dr.Sumitro Saha, Dr.Arup Bhaumik, Dr.Suchanda Sar
Phacoemulsification under topical anaesthesia was planned for nuclear sclerosis grade 3 cataract of a 67 years old gentleman.
VT129 – Phacoemulsification in a case of subluxated hypermature morgagnian cataract with absorbed cortex
Liquid cortex, weak zonules and often hard nucleus make cataract surgery in hypermature morgagnian cataracts a surgical challenge. Lens cortex in this 54-year-old patient was also absorbed, and together with weak zonules made the surgery more difficult.
A middle aged gentleman presented with a steroid induced cataract in both eyes, following chronic topical steroids for peripheral corneal disease. There was contiguous peripheral corneal thinning in the superior 120 degrees and inferior 120 degrees in both eyes.
Dr.Deepak Megur, Dr.Bharathi Megur
Capsulorrhexis is challenging in complex cases like fibrotic and calcified anterior capsules commonly seen in traumatic cataracts, hypermature cataracts and in eyes with loose zonules.
Dr. Mukesh Kumar, Dr. Manmath Kumar Das, Dr.Pradeep Agarwal
Cataract surgery in case of pre -existing posterior capsular tear is difficult ,as there is higher chance of nucleus drop, but if we do cataract extraction without doing hydrodissection is safe in compassion with doing hydrodissection. sics in safe technique in this condition .
Dr.Sheetal Brar, Dr.Sri Ganesh
The new IOL design is a single piece, hydrophilic IOL with two extra PMMA haptics at 3 and 9 o’clock positions, which can swivel over a pivot.
Success rate of cataract surgery increased with advanced technology. However certain complications do occur. One of them is malposition of IOLs like decentration, papillary capture, PC IOL in AC, Subluxated IOLs, Hanging Iris claw IOL, Optics in AC, haptics in PC, Traumatic sub-conjunctival subluxation of IOL.
VT150-Descemet membrane detachment after Deep anterior lamellar keratoplasty (DALK)-Mechanism and Management
Dr.Sunita Chaurasia, Dr.Swapna Shanbhag, Dr.Muralidhar Ramappa
Descemet membrane detachment in DALK can lead to a double anterior chamber and compromise the vision and outcome of the surgery.
Dr.Manoj Vasudevan, Charanya Chendilnathan
A 60 yr female with complaints of le eye pain for 1 year, with similar complaints in the past in be on irregular treatment on&off with multiple ophthalmologists over 2 years. on examination re healed peripheral ulcerative keratitis scars from 9 to 3 o’ clock position, similar active inflammatory process in left eye with corneal thinning seen on slit lamp.
Dr.Jayasree P V, Dr.Sathi Devi A V
Sturge Weber Syndrome (Encephalotrigeminal Angiomatosis) is a Phakomatosis. Glaucoma is reported in 30-71% of patients. Among them 60% are congenital which responds poorly to medical management.
Dr.Nadisha Puri,Dr.Suhas Haldipurkar,Dr.Vijay Shetty,Dr.Abhishek hoshing
Implantable collamer lens (ICL) are used in high myopes, who cannot be corrected with laser refractive surgery. Measuring horizontal white-to-white (WTW) diameter, manually or optically,
Dr.Anand Tibdewal, Dr.Shreya Shah, Dr. Ankita mulchandani, Dr.Pramod Kumar Upadhyay
Blindness due to cataract is preventable cause of blindness and is largely emphasized upon in Vision 2020. Neglected traumatic cataract in adults with or without injuries present a great challenge to the ophthalmologist.
DR.NEHA SHILPY, Dr.Mathew Kurian We present two different scenarios of ocular trauma with traumatic cataract and varying degrees of iris damage and their management. One was an anteriorly subluxated cataract with 180 degrees of iridodialysis, where an intracapsular cataract extraction and anterior vitrectomy was done….