VT179 – Symmetric Scaffold, Stable IOL

Dr.Shail, Dr.Vandana C Nath, Dr.Vasavada Abhaykumar Raghukant, Dr.Viraj Abhayakumar Vasavada

Managing vitreous in posterior capsule rupture(PCR)is a challenge to cataract surgeon.Despite adequate vitreous management,often intraocular lens(IOL) stability is not perfect.This film highlights value of performing a symmetric anterior vitreous face removal,creating a symmetric scaffold for stable IOL fixation Methods:Surgeons always aim to remove vitreous from anterior chamber and achieve stable IOL fixation in a PCR.We use case scenarios, animations and experiments to demonstrate the importance of removing prolapsed anterior vitreous symmetrically behind the IOL optic,to achieve better IOLstability.We compared the limbal vs pars plana approach.We highlight how important it is to symmetrically remove anterior vitreous from behind PCR and behind IOL optic.Pars plana approach helped us to achieve this better Conclusions:Clearing prolapsed anterior vitreous symmetrically behind the posterior capsule can help achieving more symmetric IOL placement.

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