Dr. ANKITA MULCHANDANI

, Dr. ABHIJEET DESAI

Abstract

PURPOSE: TO SHOW THAT IN-THE-BAG PHACOEMULSIFICATION CAN BE CONTINUED IN THE PRESENCE OF PCR IN SILICONE OIL FILLED EYES.

METHODS: 4 MONTHS POST RD SURGERY, SILICONE OIL FILLED EYE WITH GRADE 3 NS AND NYSTAGMUS WAS TAKEN UP FOR TOPICAL PHACOEMULSIFICATION SURGERY.

SILICONE OIL BUBBLE NOTED DURING HYDRODISSECTION, PCR ANTICIPATED, LOW PARAMETER PHACOEMULSIFICATION DONE IN THE BAG, NO NUCLEUS DROP/LENS MATTER DROP, IOL IN THE BAG TAMPONADING THE OIL.

RESULTS : POST OPERATIVE DAY 1- NO OIL IN AC, IOL IN THE BAG AND STABLE, NO IOP SPIKE, CLEAR CORNEA AND QUIET AC.

CONCLUSION: WELL FORMED SILICONE OIL ACTS AS A SCAFFOLD AND PREVENTS NUCLEUS DROP, THUS AIDING IN THE BAG PHACOEMULSIFICATION WITH MINIMAL CHAMBER FLUCTUATIONS.