Dr.ALOKESH GANGULY

Abstract

A ONE EYED GENTLEMAN 48 YRS OF AGE WITH 6/9 VISION AND PSCC WITH POAG

UNCONTROLLED WITH 4 MEDICATIONS ( IOP- 32 MM OF HG) WAS TAKEN UP FOR PHACO TRABECULECTOMY.

WHILE SCLERAL FLAP DISSECTION ONE PART OF THE FLAP BECAME THICK AND BASE THIN

INADVERTENTLY. ON ATTEMPTED PHACOEMULSIFICATION THAT AREA UNDERWENT DEHISENCE WITH

UVEAL PROLAPSE; THE DEFECT WAS REPAIRED AND CONVERTION TO SMALL INCISION CATARACT

SURGERY WITH VISCO EXPRESSION OF NUCLEUS SAVED THE DAY;THE FLAP WAS CLOSED WITH 3 FIXED

SUTURES AFTER TRABECULECTOMY AND CONJUNCTIVAL CLOSURE DONE;

THE PATIENT IS DOING WELL WITH 10 MM OF HG PRESSURE NO MEDICATIONS AND BCVA 6/6P AT 1 MONTH

POST OP;

THE VIDEO SHOWS HOW IT IS OF UTMOST IMPORTANCE TO CURTAIL THE EGO FOR THE SURGEON AND

MANAGE BY THE SAFEST TECHNIQUE IN CASE OF SUCH COMPLICATIONS IN A ONE EYED PATIENT;