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CONGRATULATIONS @pedror.henriques Dr. Pedro was first doctor that I saw to present this modification on the way to pass the Polypropylene in 4 Flanged technique. He was so respectful with our work that he didn’t try…

Double Flanged (Canabrava) Suture tests! In 2016, Dr Yamane described the Flanged in a 3 piece IOL. Based on his idea, I created the Double Flanged Polypropylene Suture and many doctors ask about stability! The…

DOUBLE FLANGED TESTS by my good friend Dr Tom Oetting @cataract.surgery and Mathew Benage. Amazing test to show how the 5.0 polypropylene is stable!!  Ver essa foto no Instagram Uma publicação compartilhada por Dr Canabrava ?? (@dr_canabrava)

SOLVING THE FLANGED EXTRUSION IN THE CANABRAVA’S TECHNIQUE When you start your learning curve in the “Canabrava’s Technique”, it is common to be afraid of the flanged back into the eye and then do a…

LARGE FLANGED AND ENDOPHTHALMITIS IN CANABRAVA TECHNIQUE This is a sad case published by Eduardo Roditi @ophth_roditi from Israel! All my papers and talks I always remember the risks of endophthalmitis when the surgeon perform short Scleral…

It a pleasure to watch this bent 90° polypropylene modification on my technique! It will avoid iris touch in the iris! Thanks Tom! Ver essa foto no Instagram Uma publicação compartilhada por Dr Canabrava ??…

SOLVING LATE INTERNALIZED FLANGED This video was presented in the European Journal Paper and reports the first occurrence of a late internalized flange due to capsular contraction syndromeafter undergoing the double-flanged surgical technique and how…

Double Flanged Technique – Basic Principles #2: Test the polypropylene in the needle before inserting it into the eye Ver essa foto no Instagram Uma publicação compartilhada por Dr Canabrava ?? (@dr_canabrava)

OUBLE FLANGED – Basic Principles #4: Go for a long scleral tunnel Never insert the needle directly in the sclera! It is import to create a long scleral tunnel to bury the flanged and avoid endophthalmithis!…

Since I first published the Double Flanged technique in 2017, it becomes popular around the world. However, I have seen many surgeons doing the technique differently than the one published. This can bring complications like…

MORGANAGNIAN + BAG FLAGILITY Important in this case – Notice the bag above the iris during the CTR implantation– Bag replacement with hook– Optic capture Ver essa foto no Instagram Uma publicação compartilhada por Dr…

HARADA UVEITIS + SMALL PUPIL Preoperative Conduct:1- Uveitis Inactivity Period: At least three months.2- Preoperative oral corticoid: 1mg / kg between 7 and 10 days before surgery. 3 – IOL Implant: do not implant in…

IRIS COLOBOMA + CANABRAVA RING + CTR + PUPILLOPLASTYToday, the part II Ver essa foto no Instagram Uma publicação compartilhada por Dr Canabrava ?? (@dr_canabrava)

Extreme shallow anterior chamber + Vitrectomy Observe how the anterior chamber was extreme shallow before to performed a blind descompression vitrectomy. The Canabrava ring is a good option in this kind of case because it…

Observe how fragile the zonule is. I inserted the 10/12 mm CTR inside the bag before the phaco and hidroprolapsed the nucleus to the anterior chamber. After removing the cortex….PCR. Ver essa foto no Instagram…

The Double Flanged Polypropylene Suture open many techniques! Here one interesting. Ver essa foto no Instagram Uma publicação compartilhada por Dr Canabrava ?? (@dr_canabrava)

Here the answer why “Tilt and tumble” technique posted last week! I don’t suggest Phacoemulsification inside the bag in post Bevacizumab cataract! You never knows about posterior capsule integrity’s! Ver essa foto no Instagram Uma…

It always a challenging.. my advice is.. always go slowly Ver essa foto no Instagram Uma publicação compartilhada por Dr Canabrava ?? (@dr_canabrava)

PROLAPSE OF THE IRIS – Step 1: decrease the pressure of the anterior chamber– Step 2: iris spatula by the side incision Ver essa foto no Instagram Uma publicação compartilhada por Dr Canabrava ?? (@dr_canabrava)

ACUTE MISDIRECTION SYNDROME Characterized: anterior chamber very shallow, with absence of supracoroidian effusion or hemorrhage and without perceptible pathology in iris-lens diaphragm. It usually relieves phacoemulsification without intercurrences in hypermetropic eyes. Pathophysiology: Inadequate movement of…

CANABRAVA RING by AJL OPHTHALMIC/SPAIN – Start to develop the technique in eyes with pupil between 3.5 – 4 mm, White-White diameter > 10.5 mm and long eyes. It is important to startTHE RING It…

NEW TESTS FOR SMALL EYES!! Here the first test with 5.7 mm CANABRAVA RING! The traditional one has 6.3 mm! You don’t believe how this 0.6 mm are important in eyes with WTW smaller than…

Notice how the ring is stable during the surgery! Ver essa foto no Instagram Uma publicação compartilhada por Dr Canabrava ?? (@dr_canabrava)

CANABRAVA RING – STEPS TO INSERT Step 1: McPherson Forceps were used to insert the first half of the ring into the eye, and then, the other half was rotated into the eye using a…

Thanks @seguemed for this amazing device to make easy the Canabrava Technique!! Available to by with Seguemed! Ver essa foto no Instagram Uma publicação compartilhada por Dr Canabrava ?? (@dr_canabrava)

MULTIFOCAL IOL + Canabrava 4-Flanged Technique! Is it possible? YES!! Dr. Sohee Jeon @averyplantglass (Keye Eye Center, Seoul, Republic of Korea) describeb two cases of premium IOL (toric and multifocal) implantation after which the patients fully recovered…

Dr. Mahler from Israel was faster than the Inventor to publish the technique with injector! Here a great modification in the IOL injection by cartridge by Dr. Ori Mahler Ver essa foto no Instagram Uma…

One of the advantages of the technique is that you can easily position the IOL using the 4 adjustable sutures. I am honored to have opened, in 2017, this new way in cataract surgery and…

CANABRAVA 4-Flanged Polypropylene Technique – @jcrsjournal STEP BY STEP PAPER: A microforceps passing through the corneal incision to place a 6-0 polypropylene filament in the bore of the 29-gauge needle (1A). The alignment of the suture through…

1. 7 mm Scleral tunnel2. Single Piece PMMA IOL with eyelets3. 26G needle4. Prolene 5.0 Ethicon5. IOL in the SULCUS. It is important to avoid tilt6. Flanges inside the sclera to avoid inflamation and endofthalmits!…

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