Soft cataract management could be challenging for many of us. They could lead to cheese wiring or crater formation making their subsequent management difficult. The four techniques described will enable nucleus disassembly either in the supracapsular plane or even within the capsular bag.
Managing a deficient posterior capsule requires surgical skill and expertise. Our in-house innovation, the glued IOL is a scleral fixated IOL, secured using fibrin glue, without the need for sutures. A peripheral iridectomy can enhance the outcomes of glued IOL, especially in large eyes, where it is possible to externalise greater length of the haptic, thereby conferring long-term stability to the IOL. In this video, Prof. Amar Agarwal takes us through the advantages of a PI in glued IOL.
Different techniques of phacoemulsification are being practised, each with their own pros and cons, each being used in different clinical scenarios. In this video, Prof. Venkatesh takes us through the variations of the direct chop technique and its uses in different grades of cataract.
Hydrodissection is important in all cases of Phaco as it enables nucleus rotation and easy cortical aspiration. Hydrodelineation, on the other hand is performed only in selected cases. When u decide to perform both, which should be done first ? Prof.Venkatesh explains this in this video.
Continuous curvilinear capsulorhexis (CCC) is an important step of Phacoemulsification that has a bearing on the subsequent steps of surgery. An adequately sized and centered rhexis is vital to performing phaco. In this video, Prof.Venkatesh explains the commonly encountered difficulties while performing a CCC and tips to overome them.
Struggling with a compromised capsular bag? We bring to you our in-house innovation - The Glued IOL. Whether you are someone new to the technique or someone looking to refine your technique, we have something for everyone in this video. We take you through the lessons we have learnt along the way, in the years of practicing Glued IOL and mastering it.
Phacoemulsification is the most common cataract surgical technique performed worlwide with millions of surgeries performed every year. Wound construction in Phaco is of paramount importance and can inlfuence all the subsequent steps of the surgery. Watch this video as Prof.Venkatesh takes us through the steps of creation of a perfect clear corneal incision.
Microcornea is defined as horizontal corneal diameter of less than 10mm. Patients with microcornea can develop cataract in childhood as a syndromic association or develop age related cataracts. Because of the difficulty in placing IOL in a small eye, these patients are left aphakic many a times. We describe the triad of microcornea-aphakia-Sommering ring and the management of such patients with glued IOL and Sommering ring removal after glued IOL, using the IOL as a scaffold.
IOL drop during or after a cataract surgery is one of the most dreaded complications for a surgeon. IOL retrieval from the posterior segment can be complicated by retinal tears, hemorrhages, retinal detachment especially when forceps are used for the same. The extrusion cannula assisted levitation (ECAL) describes a technique of IOL retrieval using an extrusion cannula that minimizes the risks associated with forceps. In this video, Dr.Ashvin Agarwal performs ECAL assisted IOL retrieval followed by fixation of the same IOL using glued IOL technique and pupilloplasty.
Phacoemulsification is the most commonly performed cataract surgical technique worldwide with millions of surgeries performed every year. Understanding the mechanical principles underlying the phaco machine allows the surgeon to optimize the settings, safely perform the surgery and troubleshoot any problems that might be encountered during the surgery. In this video, Prof.Venkatesh takes you through the basics of phacodynamics.
Subluxated lenses can occur secondary to trauma, ocular conditions such as pseudoexfoliation, systemic diseases such as Marfan's syndrome. Subluxated lenses are managed according to the degree of subluxation, with devices such as capsular tension ring and segment, and in severe cases with secondary IOL's. In this video we take you through the step-by-step management of a subluxated lens using Ahmed capsular tension segment : flanged technique.
Refractory glaucoma is where IOP cannot be brought under control despite maximal medical therapy and conventional surgical techniques such as trabeculectomy. Glaucoma drainage devices (GDD) such as the Ahmed valve, Molteno, Baerveldt divert aqueous from anterior chamber to an external reservoir. They are useful in cases such as uveitic glaucoma, neovascular glaucoma, glaucoma after keratoplasty and VR surgery, conjunctival scarring from previous surgeries. In this video we show you the step by step implantation of an Ahmed glaucoma valve in two eyes, one post keratoplasty and one post VR surgery.
Anterior chamber IOL's / ICL's can cause complications such as corneal decompensation, uveitis, glaucoma. Managing such cases can be tricky and needs expertise. Here we have a patient with an anterior chamber phakic ICL who went in for corneal decompensation and bullous keratopathy. His ICL was explanted, phacoemulsification and IOL implantation was done follwed by a PDEK along with pupilloplasty, all in one sitting. Watch this video to know how a meticulously done surgery can give highly satisfactory results, both for the surgeon and patient.
Lenticular coloboma is a peripheral flattening in the otherwise perfectly bi-convex natural lens due to absence of zonules, the reinforcement structure at that site. This creates a communication between the anterior segment and the vitreous. We start out this video by techniques to minimise complications. We go on to explain a unique procedure to expedite you in these cases. Learn this innovative technique through a well performed surgical video and an accurately animated explanation. Do not miss out the amazing metaphor at the beginning.
IOL drop during or after a cataract surgery is a surgeons' nightmare. Posterior dislocation of the IOL can also occur secondary to causes such as trauma and pseudoexfoliation. Explantation of the IOL becomes challenging and might be riddled with complications such as iatrogenic retinal tears, retinal detachment, retinal haemorrhages etc. especially with the use of forceps. Extrusion cannula assisted levitation (ECAL) describes a technique of IOL retreival using a cannula that minimises the risks associated with forceps. We guide you through a step-by-step ECAL IOL retrieval technique in this video and explain its advantages over the use of forceps. With experiments for better understanding, this video is a must watch !!
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