Dr. SAUMENDRA NATH GHOSE

, Dr. DEBASHIS DUTTA, Dr. DEBDULAL CHAKRABORTY

Abstract

42 yrs old female with BE spherophakia & PSSC came for cataract surgery.She underwent uneventful LE phaco +foldable +CTR +2 CTS fixation & gained 6/9 vision.But due to covid situation,she came for RE cataract surgery after 2 years.This time her cataract became sclerotic hypermature & with severe >180° zonular dehiscence. Still like LE, we planned RE phaco+foldable +CTR +2CTS fixation.But during surgery due to sclerotic anterior capsule, we failed to get a proper circular rhexis.Furthermore, during capsular fixation with capsular hook, it was evident that hooks were tearing the capsulotomy margins. So, we shifted to plan B.We removed the subluxated cataract with a 6 mm sclero-corneal tunnel & did minimal anterior vitrectomy.Then we did scleral fixation of a 3-piece foldable IOL. Lastly, main wound was closed by figure of 8 suture. After uneventful P-O period pt. gained 6/12 vision in RE. In this video we demonstrated, what went wrong during the surgery and how we managed it accordingly.