Categoria: Sem categoria

Video of the month:

How to Manage a Capsulorrhexis Tear

Hassan Khaled, MD, FRCS, demonstrates the management of a complication during cataract surgery in which he encounters a tear of the capsulorrhexis.

Paper of the month:

Pearls for the young cataract surgeon: the white cataract

Sinopse: There are multiple types of cataracts that fall under the category of “white,” and it is important to differentiate because each behaves differently. Moreover, the surgical approach is very different. Let us begin this column by classifying whitSinopse: There are multiple types of cataracts that fall under the category of “white,” and it is important to differentiate because each behaves differently. Moreover, the surgical approach is very different. Let us begin this column by classifying white cataracts as nuclear/cortical, intumescent, or Morgagnian.e cataracts as nuclear/cortical, intumescent, or Morgagnian.

Sergio Canabrava Surgical Case:

Novel Intrascleral IOL Fixation Four-Flanged Technique by Dr. Sergio Canabrava

In this video we can observe how is important to test the flanged size outside the eye before to insert the IOL. Other important point is to insert the IOL in the sulcus to avoid tilt.

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.