DR. DANTE BUONSANTI

DR. DANTE BUONSANTI, Dr. SATISH CHANDER GUPTA

Abstract

Buonsanti Dual hooks is a novel device that can be used together or separately as capsule and/or iris hooks.

Its a iris retractor and a capsule hook, altogether in one, so it goes trough the same incision.

Its been reported to have zonular inestability in about 10% cases of pseudoexfoliation.

Sometimes they tend to have both issues, small pupil and zonulopathy.

Nowadays we need an intraocular device for pupil and capsule hooks, a sutured segment or tension ring to manage these patients. With Buonsanti dual hooks we could get a nice pupil size, and if needed, trough the incisions already made, insert the capsule hooks.

Also sometimes capsule inestability is adressed during capsulorhexis, or a small pupil can make us miss a zonular issue, so we can use them for countertraction and afterwards during phaco.

It will replace the need of having them separately. In cases of floppy iris+zonulopathy, pupil stretching or intraocular devices are not recomended.

Presented atASCRS a great innovation

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