1. 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

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

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

4. Advances in Corneal transplatation during the triple procedure

5. Advances in Corneal transplantation during the triple procedure

6. Advances in Corneal transplantation during the triple procedure

9. “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

10. 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

11. 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

12. 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.