, Dr.NAVEEN NISCHAL GANGAPATNAM, Dr.VIVEKANANDAN V R
Abstract
A Posterior capsular Rupture (PCR) is the most common sight threatening complication in the hands of a beginner as well as the experienced cataract surgeons. The preferred technique of implanting a single-piece or three-piece intraocular lens (IOL) in the sulcus is associated with IOL decentration, pupillary optic capture, pupillary block glaucoma, chronic iridocyclitis, iris chaffing and pigment dispersion. A single piece foldable IOL in the bag is the preferred anatomical position of the lens and ensures a good centration, stability and better image resolution. This video demonstrates several unique techniques which show that, with a precise knowledge of the extent and position of the PCR, the available posterior capsular support, the status of the vitreous and the anterior hyaloid phase, it is possible to implant an IOL in the bag with the advent of a PCR.
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