Innovation Glued IOL 1st Time in Cambodia

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Presentation transcript:

Innovation Glued IOL 1st Time in Cambodia Dr. Kong Piseth 5th Dec ‘14

INDICATIONS Post operative Aphakia Subluxated Cataractous lens Intraoperative dialysis Intraoperative posterior capsular rupture with insufficient capsular support Congenital subluxated lens / Ectopia lentis Aniridia with lens subluxation Post traumatic aphakia Dislocated IOL/Nucleus 5th December '2014

Marking the Axis of IOL 5th December '2014

Making Flaps along the Axis 5th December '2014

Making Flaps along the Axis 5th December '2014

Placing Infusion - Cannula/ACM 5th December '2014

20 G Sclerotomies 5th December '2014

Anterior Vitrectomy± Lensectomy 5th December '2014

Making Ports For Hand Shake Technique 5th December '2014

Hand –Shake Technique with Exteriorization of Leading Haptic 5th December '2014

Hand –Shake Technique with Exteriorization of Trailing Haptic 5th December '2014

Checking Centration 5th December '2014

Making of Scharioth Scleral Tunnel 5th December '2014

Tucking of Trailing Leading Haptics 5th December '2014

Insertion of Air & Application of Glue 5th December '2014

Insertion of Air & Application of Glue 5th December '2014

ENDOTHELIAL CELL LOSS POST OPERATIVE SPECULAR COUNT = 2197 ± 318.7cells /mm2 % LOSS OF CELLS= 5.33±3.5% REDUCTION IN POST OPERATIVE SPECULAR COUNT = p<0.001 5th December '2014 n=59

IOL TILT The mean ratio of the slope was 1.04±0.28mm 5th December '2014

IOL CENTERATION The mean x and y shift was 0.08±0.19mm and 0.01±0.05mm No significant change in x shift in the follow up = p=1.00 5th December '2014 n=59

Advantages No Special IOL No Tilt Less Pseudophacodonesis Less UGH syndrome No Suture Related Complications Rapidity and ease of Surgery Stability of the IOL Haptic 5th December '2014

Case I History : 76 Years Old, Male, Traumatic in RE Diagnosis : RE, Cataract with Phacodonesis Operation : RE, ICCE with Glued IOL V/A (Pre OP) RE : 6/60 V/A (Post OP) RE : 6/9 IOL Position : Center Wound : No Leakage 5th December '2014

1st Case Post Operative - ICCE with Glued IOL

Case II History : 59 Years Old, Male, Blurred Vision with Pain in RE Diagnosis : RE, Cataract with AACG with Lens Move Forward Operation : RE, ICCE with Glued IOL V/A (Pre OP) RE : 6/36 V/A (Post OP) RE : 6/12 IOL Position : Center Wound : No Leakage 5th December '2014

Case II: Post Operative of ICCE with Glued IOL

5th December '2014

Many Thanks for your Kind Attention “Will Meet all with some more innovations next time”

5th December '2014