Sinopse: A retrospective cohort study used the Intelligent Research in Sight (IRIS) Registry’s database to evaluate the difference in endophthalmitis rates after immediately sequential bilateral cataract surgery (ISBCS) versus delayed sequential bilateral cataract surgery (DSBCS)
Attaining optimal flange size with 5-0 and 6-0 polypropylene sutures for scleral fixation
Sinopse: A technique for achieving an optimal flange size with 5-0 polypropylene and 6-0 polypropylene used for flanged intrascleral intraocular lens fixation is described. Flange size in polypropylene sutures is dependent on heating length and independent of forceps grip during heating. It was identified that heating of 1 mm created the optimal flange size for a 5-0 polypropylene suture when used for a 27-gauge needle scleral tunnel and for a 6-0 polypropylene suture when used for a 30-gauge needle scleral tunnel. Alternatively, 2 mm heating of a 6-0 polypropylene suture fits well for a 27-gauge needle tunnel. Even gentle forceps grip caused flattening of the polypropylene sutures but did not influence shaping and sizing of the flange.
Video of the month:
Cortical Cleanup with J. Cannula
Tarek Youssef, MD, presents a video of 26 consecutive cases in which he shares tips and tricks for performing cortical cleanup with a J Cannula.
One of the main point for a good scleral fixation is the use of a maintainer, either in the anterior or posterior chamber. It is very important to avoid hipotony during the procedure! Notice in this video the entrance inclination and distance of 3.5 mm.
Steps:
1. Make a 1.2 mm incision;
2. Inject air bubble in the anterior chamber;
3. Go behind the iris with the canule;
4. Staining few drops of trypan blue “Blue bubble technique”.
Opacified Hydrophilic IOL + Haptic Fibrosis + Iatrogenic Pre-YAG laser.
Note: Iris spatula to remove bag fibrosis and visco dissection to release the haptic from the capsular bag!
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