One eyed patient with an adherent leucoma and black cataract. Intracapsular extraction of the lens done followed by the fixation of an iris claw lens on the back of the iris. Surgery by Dr. Kiranjit Singh,...
Taking the help of iris hooks, anterior capsule staining dye and oval rhexis could finish the difficult case well. There was history of trauma many years back.
Oval rhexis is a must for hard cataract. In this case, PCR was noticed during last segment removal. Phaco probe was taken out. Incision extended a little bit. Anterior vitrectomy was done and IOL was...
Traumatic cataract plus PC rupture both were positive. Endocapsular ring was not possible. Sulcus fixated IOL not possible. IOL implanted in the bag. The patient regained 20/20 vision.
In this case I describe some steps that can be shortened in cataract surgery with Femtosecond laser. These steps are 1. Secondary port 2. Recovery capsule with strata forceps and 3. Hidrodisection.
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