Dr. RUHI GUNAY

, Dr. MEHUL SHAH, Dr. SHREYA SHAH, Dr. RUCHI BODAT

Abstract

INTRODUCTION: USE OF ANTERIOR CHAMBER MAINTAINER STABILIZES INTRA OCULAR PRESSURE, THEREBY INCREASING SAFETY IN CASE OF POSTERIOR CAPSULAR RUPTURE, NUCLEUS DROP,IOL DROP, SCERAL FIXATED IOL AND PREVIOUSLY VITRECTOMIZED EYE.

METHOD: POST CATARACT SURGERY COMPLICATION; SHALLOW ANT CHAMBER, INTRAOPERATIVE MIOSIS, UNSTABLE POST CAPSULE, POST CAPSULE OPACITY, LOOSE ZONULES AND LACK OF SUPPORT TO LENS FROM VITREOUS INCREASE FLUCTUATIONS IN AC DEPTH. HENCE EARLY RECOGNITION AND PREVENTION OF EXPANSION OF TEAR, WHICH WOULD INCREASE CHANCES OF DROP, IS REDUCED, BY USAGE OF ACM. A PARACENTESISIS IS MADE AT 9 CLOCK HRS FOR INTRODUCTION OF ACM, PREFERABLY BSS PLUS, SINCE LESS CHANCE OF CORNEAL EDEMA POST SURGERY.THE ACM BLOCKS VITREOUS PROLAPSE AND STABILIZES ANY REMAINING LENS MATERIAL BEFORE I/A OR PHACOEMULSIFICATION IS DONE.

CONCLUSION: TIMELY AND ADEQUATE USAGE OF ACM PREVENTS FLARE UP OF INTRA OPERATIVE COMPLICATIONS, REDUCES OCULAR MORBIDITY AND IMPROVES POSTOP VISUAL OUTCOME.