HOW TO ACHIEVE PERFECT CONTINUOUS CURVILINEAR CAPSULORHEXIS IN INTUMESCENT CATARACT UNDERGOING SMALL INCISION CATARACT SURGERY- TIPS FOR BEGINNERS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 2
Abstract
BACKGROUND Continuous Curvilinear Capsulorhexis (CCC) is an essential step for cataract surgery. CCC in white intumescent cataract is more challenging due to multiple factors like swollen lens, stretched thin capsule, liquefied cortex obstructing the view and no fundus glow. The aim of the study is to formulate guidelines to achieve perfect Continuous Curvilinear Capsulorhexis (CCC) in intumescent cataract undergoing small incision cataract surgery. MATERIALS AND METHODS In our prospective study, 66 patients with white intumescent cataract underwent cataract surgery by single experienced surgeon. Staining of anterior capsule with trypan blue, soft shell technique of viscoelastic were used and lenticular decompression was carried out by aspiration of liquefied cortical material through 23G needle. CCC was completed using micro capsulorhexis forceps. RESULTS We were able to achieve good, average and poor CCC in 84.8%, 7.5% and 7.5% patients, respectively. CONCLUSION We conclude that 23G needle is simple and cost-effective mean to decompress the intumescent lens in rural peripheral settings. Soft shell technique and micro capsulorhexis forceps further help to achieve perfect CCC in controlled fashion.
Authors and Affiliations
Yogendra Ganpat Vabale, Smita Atul Pawar
Keywords
Related Articles
- EP ID EP448609
- DOI 10.18410/jebmh/2018/32
- Views 135
- Downloads 0
PULMONARY HYPERTENSION IN HYPOTHYROIDISM- A PROSPECTIVE, INTERVENTIONAL STUDY
BACKGROUND Hypothyroidism, a frequent endocrine disorder affects ~11% of the Indians. Though there are studies reporting the cooccurrence of hypothyroidism and Pulmonary Arterial Hypertension (PAH), evidence-based litera...
WAIST-HIP RATIO AND WAIST CIRCUMFERENCE AS SIMPLE MEASURES OF CARDIOVASCULAR RISK ASSESSMENT AND WEIGHT MANAGEMENT AMONG MEDICAL STUDENTS
BACKGROUND The Waist-Hip Ratio (WHR) and Waist Circumference (WC) were used to identify people at health risk both from being overweight and having visceral fat distribution. The aim of this study was to determine the as...
A STUDY ON PREVALENCE OF REFRACTIVE ERRORS, STRABISMUS AND AMBLYOPIA IN PAEDIATRIC AGE GROUP IN A TERTIARY CARE HOSPITAL
BACKGROUND Refractive errors are considered to be a preventable cause of blindness, leading to visual disabilities in children. As per WHO Vision 2020 initiative high priority is given for correction of refractive error...
FUNCTIONAL OUTCOME IN TOTAL KNEE REPLACEMENT
BACKGROUND Osteoarthritis is one of the most frequent musculoskeletal disorders, responsible for the recurring work incapacity of the individuals affected. The primary treatment for patients with end stage arthritis of t...
ANAEMIA AND CHRONIC KIDNEY DISEASE
BACKGROUND Blood haemoglobin (Hb) concentration serves as the key indicator for anaemia, because it can be measured directly. Aim: To determine the profile of anaemia and to correlate the severity of anaemia with serum c...