Dr
Sudhir Singh
Sr. Consultant & HOD
JW Global Hospital Research Centre
Mount Abu India 307501
Case 1 :
Manual Small Incision Cataract Surgery
Through Post Uveitis 1mm Small Bound Down Pupil : No Hooks
No Rings
In this case pupil was not getting
dilated due to massive iridocapsular adhesions.
Iridocapsular adhesions between posterior surface of the
iris and anterior surface of the anterior capsule try to
broken with help of the iris spatula. But could not be
succeed due to massive iridocapsular adhesions iris hooks
and pupil expenders would not be useful.
So we decided to do multiple small sphincterotomies in the
lower half of the pupilary sphincter with the help of vannas
scissors. The Cane opener capsulotomy is done with 26 gauze needle
capsulotome as capsulorhexis is not possible. The nucleus is rotated within the capsule using a Sinskey’s
hook. The nucleus was prolapsed into anterior chamber using
a Sinskey’s hook. Then the nucleus is taken out with the help of a lens loop.The
cortical matter cleaned up. Anterior chamber was formed by
viscoelastics. The IOL was implanted. The anterior chamber
was washed up. The conjunctival flap reposited. The sub conjunctival gentamycin and
dexamethasone injection given.
Case 2:Complicated
Cataract Management With Non Dilating Pupil: No Hooks No
Ring Approach
This was a post
post uveitis complicated cataract with non dilated pupil.
This case managed by my “No Hooks No Ring Approach”. This
approach consistently works well for me in all types of the
non dilating pupils. Please watch out video for more
details
Case 3:Phacoemulsification Through Post Uveitis 1mm Small Bound
Down Pupil : No Hooks No Rings
Case 4:Phaco In White Hard
Cataract In Non Dilated Pupil
Case 5: Intratunnel Phacofracture
SICS In Floppy Iris and Non Dilating Pupil (With Commentary)
Case 6:
MSICS In Pseudoexfoliation
And Non getting Dilated Pupil (With Commentary)
Case 7:Manual SICS in Hyper
Mature Cataract and Non Dilating Pupil
Case 8
: Temporal SICS in Post Trabeculectomy Non Getting Dilated
Pupil
Intratunnel
Phacofracture Manual Small Incision Cataract Surgery (MSICS) Video
Manual Small Incision Cataract Surgery (MSICS
or Manual SICS) Video
