CataractCoach™ 2254: traumatic pediatric cataract

  Рет қаралды 3,181

Uday Devgan

Uday Devgan

29 күн бұрын

This young patient sustained penetrating ocular trauma which resulted in perforation of the cornea as well as the lens capsule. There is now opacification of the soft lens cortex and the patient is unable to see. The challenge in this case is determining the extent of the injury and then removing the cataract, inspecting for other damage, and then placing the IOL. What would be your approach in this tough case?

Пікірлер: 5
@Dr.AdnanAlHassani
@Dr.AdnanAlHassani 24 күн бұрын
Still we can implant a single piece IOL in the bag, even in the presence of large PC rent. In an adult with a more liquid vitreous, I would do reverse optic capture. Nice job Thanks for sharing, and the excellent teaching narrative.
@kenlagunzad
@kenlagunzad 27 күн бұрын
Is it safer to put a suture here since its a post ant vitrec eye? I know its hard to take out since is a pedia patient. How bout vicryl 10-0? Thank you for your insights.
@MattiaPasti
@MattiaPasti 27 күн бұрын
Myopic shift is usually bigger than the other eye so I usually shoot for +3ish in a 3 years old You can't be very accurate in these eyes but you can fix it later, as long as you avoid amblyopia
@bouletteboulette7815
@bouletteboulette7815 27 күн бұрын
Why not a bag-in-lens iol ? Just asking
@ajmi10
@ajmi10 27 күн бұрын
Suture suture suture
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