Dr.JAYANAND URKUDE

 Dr.RASHMI SINGH, Dr. J. S. TITIYAL, Dr. NAMRATA SHARMA

Abstract

Microspherophakia is associated with abnormally lax zonules & elastic capsule, which pose great challenge while creating capsular openings. In our technique, two 23G MVR blades are introduced simultaneously into capsular bag, ~180° apart at equator/ just posterior to it. Simultaneous use of 2 MVR blades help to bring subluxated/ dislocated lens in visual axis. Further, one MVR stabilizes unstable lens & also provides counter-traction for opposite MVR, thus creating capsular openings in more controlled manner. Juxta-equatorial is relatively thicker & stronger part of capsule, hence minimizing risk of premature extension & also enables good visibility of intraoperative maneuvers through undisturbed anterior capsule. This technique was performed in 8 eyes of 4 microspherophakia patients with mean age 7.25±2.2 years. Endocapsular lens aspiration was successfully performed in all patients without any intraoperative difficulties. Post-operatively at 3 months BCVA of 0.12±0.11 was achieved.