New Technique to Manage Vitreous Pressure During the Triple Procedure

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Presentation transcript:

New Technique to Manage Vitreous Pressure During the Triple Procedure Authors V. S. Nirankari, Corneal Services, Eye Consultants of Maryland Ashok Sharma, Cornea Centre, Chandigarth, India

Purpose New technique of insertion of PCIOL in spite of positive vitreous pressure during the Triple Procedure

“OPEN SKY” ECCE/PK ADVANTAGES ONE INCISION GOOD VISUALZATION SATISFACTORY VISUAL RESULTS

Advances in Corneal transplatation during the triple procedure

Advances in Corneal transplantation during the triple procedure

Advances in Corneal transplantation during the triple procedure

“Open Sky” ECCE/PK Disadvantages Open sky with increased risk of positive pressure, scleral collapse Forward herniation of the iris / posterior capsular rupture and vitreous loss Increased risk of choroidal hemorrhage Uncertainty of exact placement of the posterior chamber IOL

SURGICAL ADVANCES Suturing of donor after nucleus expression with interrupted sutures I & A thru graft host junction Implantation of posterior chamber IOL thru graft host junction

Results 32/34 eyes had successful implantation of the PC IOL One eye had one haptic in front of iris, successfully repositioned No incidence of capsular rupture, vitreous loss or lens dislocation All grafts were clear

Conclusions This new technique allows successful placement of a PC IOL in spite of positive vitreous pressure during the triple procedure. All grafts were clear; with no incidence of capsule rupture, vitreous loss or lens dislocation.