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.
PDEK is a valuable procedure in endothelial disorders like Fuch's dystrophy and bullous keratopathy, where it bypasses the need for a penetrating keratoplasty and its associated complications. In this video we take you through a PDEK perfomed in a patient with ICE syndrome. PDEK can also be combined with Phacoemulsification and IOL implantation, as well as Glued IOL
The phakic ICL is an intraocular refractive procedure done for patients with high refractive errors that cannot be corrected with laser vision correction, or for patients who are unsuitable for laser based procedures. This video takes you through the step-by-step procedure of ICL implantation and ICL loading.
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.
Sometimes when you try making a PDEK bubble especially In older age corneas the chances of getting a TYPE 2 bubble is higher. In this video we discuss how to salvage this with keen observation and still achieve a Type 1 bubble .
A unique innovation in the management of keratoconus, CAIRS, the brainchild of Dr.Soosan Jacob is revolutionising its management and gaining popularity the world over. INTACS, with synthetic segments is fraught with disadvantages such as extrusion, migration of segments, corneal melt etc. and managing these, become an even greater challenge. To overcome this, CAIRS uses corneal stromal segments harvested from donor corneas. This video takes you through the advantages and technique of performing CAIRS and the many modifications and innovations that make this procedure truly one of a kind !!
Does one-size-fit all ? Of course not ! And the same applies to our eyes as well. CAIRS, a novel in-house technique in the management of keratoconus, has been further refined with customisation. Customised CAIRS, as the name implies, caters to each eye individually, by customisation of the segments, which are tailor made according to the individual's corneal topography. Bring Femtolaser into the picture and we have more accurately crafted CAIRS segments ! Let us take you through this innovation and its many advantages in this video.
PDEK is a great surgery where you have the advantage of a thick graft of 25 microns , younger donor with high specular count .For someone looking to transition from DSEK surgeries PDEK is a great start .Can be performed with ease in vitrectomised eyes as well .
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