PCR management – Right and Wrong management
In PCR we recommend pars plana vitrectomy or to create New Small Incision in the Cornea. In this management is essential:– Don’t use the main incision.– The vitrectomy through the main incision tends to lose more vitreous. – The use of triamcinolone to better vitreous visualization, making the anterior vitrectomy more effective.– A scleral incision […]
Capsular Rupture
It is a patient with posterior polar cataract. During the plaque removing… Capsule Rupture! What to do? 1. OVD to avoid vitreous loss;2. 26g needle to create new pivot;3. Posterior rhexis;4. OVD again;5. IOL with captured optic zone. Ver essa foto no Instagram Uma publicação compartilhada por Dr Canabrava ?? (@dr_canabrava)
Iris Cerclage
Erclage Pupiloplasty – part I Patient with persistent mydriatic pupil. On this technique, a curved transchamber needle on 10.0 polypropylene is passed in and out of the anterior chamber through 3 limbal paracentesis, 120 degrees distance from each one, openings while weaving the needle through the iris near the pupillary margin to form the cerclage. […]
Needle Synechialisis Without Viscoelastic
It has always been taught to me to remove a synechialisis using a large incision + OVD + Spatula. Here I present to you a new idea. First of all, I thought: Why not using a simple 26G or 29G in the cornea? To my surprise, the anterior chamber is kept stable! It’s possible to […]
Endocauthery Pupilloplasty
Interesting case to learn how to use “Endocautery” to perform pupilloplasty! Ver essa foto no Instagram Uma publicação compartilhada por Dr Canabrava ?? (@dr_canabrava)
Pupilloplasty with simple U suture
This 14-year-old boy was @cruzeiro goalkeeper. However, due to trauma, he had to abandon his dream of being a profissional goalkeeper because he had low vision in this eye secondary to trauma. So the challenge was to rebuild his eye to give him the opportunity to get back on the pitch. It’s days like this that make […]
IOL repositioning with CTS
Dislocated IOL and fibrosis bag! I used the Double Flanged Polypropylene (Canabrava Suture) to fixate the CTS on the fragility bag area! Ver essa foto no Instagram Uma publicação compartilhada por Dr Canabrava ?? (@dr_canabrava)
IOL Exchange without PCR
1. Bring the damage IOL into the anterior chamber, then inject the new one into the capsular bag. It can avoid capsular rupture during the IOL cutting;2. Use microforceps in the side port to hold the IOL and avoid endothelial touch;3. Cut the optical zone of the IOL halfway;4. Rotate the IOL to outside of […]
IOL Exchange with PCR – Part 3
Opacified IOL explant in fibrosis bag + iatrogenic posterior Yag Capsulotomy: #1 – Maybe, the most important part of this video is the 3 piece IOL capture in anterior capsulorhexis. Ir is important to avoid pigmentary dispersion. #2 – Observe the vicryl suture in the sclerectomy to avoid endophthalmitis. Ver essa foto no Instagram Uma publicação compartilhada […]
IOL Exchange with PCR – Part 2
IOL Exchange + Anterior Vitrectomy in pacient with iatrogenic yag capsulotomy. After removing the opacified IOL from the capsular bag, we observed vitreous through the capsulotomy performed inadvertently in another hospital. Before exchanging the opacified IOL, a second IOL was injected that will works as a scafold! Ver essa foto no Instagram Uma publicação compartilhada […]