Autor: Sérgio Canabrava

Video of the month:

Removal of Intraocular Fiber

After uneventful cataract surgery, this patient presented with a white fiber partially retained within the clear corneal incision and partially within the anterior chamber causing inflammation. Lorenzo J. Cervantes, MD, demonstrates removal of the fiber and the management of this case.

Paper of the month:

ENDOPHTHALMITIS RATE IN IMMEDIATELY SEQUENTIAL VERSUS DELAYED SEQUENTIAL BILATERAL CATARACT SURGERY WITHIN THE INTELLIGENT RESEARCH IN SIGHT (IRIS) REGISTRY DATA

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)

Sergio Canabrava Surgical Case:

Preoperative NG:YAG Laser in Intumesceht White Cataract

Coelho et al. was the first author that I read about Preoperative Nd:YAG laser anterior capsulotomy in intumescent white cataract Capsulorhexis in eyes with white intumescent cataracts is a challenge due to the high risk of extension of capsular tears to the lens periphery and this procedure is a good option to decrease the intracapsular pressure!

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.

Paper of the month:

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.

Sergio Canabrava Surgical Case:

Intraoperative Capsular Desinsertion

Patient referred to the outpatient clinic of Dr. Sergio Canabrava with intraoperative capsular bag detachment. Surgery performed 10 days before. Note how the capsular bag is fibrous. In the following video, you will see the conduct performed.