DR. OSHIN MIDDHA

Dr. PRABHAKAR S.K., DR. FEBA MARY GEORGE, Dr.DR. PRASHANSA YADAV, DR. UDITI PANKAJ KOTAK

Abstract

Aim: To describe measures taken to overcome difficulties and methods performed to maintain graft clarity

Methods: Patient presented with intumescent cataract (RE) 1-year post PK done for healed mycotic ulcer. Under peri-bulbar block, 5 -5.25 mm inferotemporal tunnel made based on residual astigmatic axis (-4.50 D at 70°). Small CCC performed however rhexis running observed due to increased ILP and then converted to Can-opener. Hydrodissection performed. Nucleus subluxated into the anterior chamber by cannula tip and viscoexpressed. Peripheral anterior synechiae released by Visco dissection. A rigid posterior chamber lens placed in the ciliary sulcus after aspirating the cortex.

Results: Graft maintained its transparency on 1st post-op day with SIA of -3.00 Diopter at 65°. (Correcting 1.50 Diopter)

Conclusion: Adopting nucleus visco-expression and minimal instrumentation in the anterior chamber maintained intraoperative graft clarity thus helping to achieve a good visual outcome.