Dr.RAMMIA R

Abstract

85year old lady was posted for LE cataract surgery.

On Examination,Pupil 5mm, Nuclear sclerosis Gr 3.

Ascan LE K1 48.00 K2 46.50 AXL 21.36mm.

During intra-operative period rhexis was difficult due to deep anterior chamber (high K readings) and poorly dilating pupil. But did not require iris manipulation to carry out the capsulorhexis, since pupil was 5mm. Capsulorhexis was thus slightly smaller than 5 mm. Phacoemulsification was also difficult due to deep anterior chamber and small rhexis. At 1week her visual acuity was 6/18 PH 6/12.

At 3 weeks she was noted to have visual acuity of CF1m. Examination of her left eye revealed thickened anterior capsule and occlusion of capsulo-rhexis opening. Patient posted for Nd-Yag anterior capsulotomy.

DISCUSSION

ACCS may be prevented by utilizing a larger capsulorhexis size, meticulous LEC cleanup.

CONCLUSION

Use of rhexis marker by young surgeons helps to caliberate the size of rhexis in poorly dialating pupil and preventing capsular phimosis.