DR. SHEETAL BRAR

Dr. SRI GANESH

Abstract

Aim: To evaluate the feasibility and safety of a new “safety net” device for use during posterior capsule rupture (PCR) at various stages of phacoemulsification.Materials: In this prospective study, a new device called the “safety net” device, a circular shaped tool made of PMMA with a net like design was evaluated in the setting of PCR. Results: 24 eyes from 24 patients that encountered PCR during phacoemulsification were evaluated. 20 eyes had grade 1-2, while 4 eyes had grade 3-4 nuclear sclerosis cataract. In 18 eyes, PCR occurred at late stage, whereas in 6 eyes, it occurred at early stage of surgery. In all eyes, the safety net device was secured using 3 or 4 iris hooks and nucleus drop could be successfully prevented followed by secondary IOL implantation in the same sitting. No visually significant post-op complications occurred in any eye. Conclusion: The new “safety net” device may be a feasible tool to prevent dreaded complications of PCR during phacoemulsification.

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