DR. JEBINTH BRAYAN

, DR. PRITHVI CHANDRAKANTH, Dr. SIDDHARTH NARENDRAN, Dr. KALPANA NARENDRAN

Abstract

80 YEAR OLD FEMALE WITH BOTH EYE VISUAL ACUITY OF LIGHT PERCEPTION – WITH SYSTEMIC COMPLICATIONS OF UNCONTROLLED DIABETES – HYPERTENSION, CVA WITH HEMIPLEGIA, BREATHING DIFFICULTY UNABLE TO LIE DOWN PRESENTED TO US FOR CATARACT SURGERY. SHE HAD BEEN REJECTED BY ALL THE PREVIOUS OPHTHALMOLOGIST FOR CATARACT SURGERY AS SHE HAS HIGH RISK COMORBIDITIES EVEN TO UNDERGO THE SX UNDER GENERAL ANAESTHESIA. SHE WAS TAKEN UP FOR SURGERY WITH A NEW INNOVATIVE SURGICAL TECHNIQUE FOR SITTING PHACOEMULSIFICATION WHERE BOTH EYE SX WAS PERFORMED ON THE WHEELCHAIR ITSELF UNDER LOCAL ANAESTHESIA WITH ASEPTIC PRECAUTIONS, VITALS WERE MONITORED THROUGHOUT THE SURGERY WITH STANDBY ANAESTHETIST. THE SX WAS UNEVENTFUL WITH BCVA POD30 – 6/6 IN BOTH EYE. THE VIDEO DESCRIBES THE STEP BY STEP TECHNIQUE OF HOW THE PATIENT IS BEING POSITIONED & HOW THE PHACOEMULSIFICATION WAS PERFORMED IN BOTH EYES. THIS IS THE FIRST 90 DEG NOVEL INNOVATIVE CAT SURGERY DONE USING A SURGICAL MICROSCOPE WITH PATIENT ON A WEELCHAIR.