, Ms. Aishwarya Rathod, DR. NAMRATA SHARMA, Dr.PRAFULLA KUMAR MAHARANA
Abstract
Presenting to you a video snippet of a lens aspiration in a post traumatic subluxated total white cataract. The ACCC was followed by CTR implantation by Sinsky hook assisted bimanual technique. Following lens aspiration, a cohesive viscoelastic was injected into the capsular bag. At this point, the posterior capsule appeared very lax and it was difficult to assess its integrity. Also, in this case the spider web sign was difficult to elicit as the capsule was extremely fragile and thin. We observed an air-bubble under the viscoelastic, that had traversed from the anterior chamber through the deficient zonules and migrated to a potential space (Berger’s space). The bubble was not able to travel anteriorly, hence emphasising the presence of a membrane between the bubble and the anterior chamber. Also, the bubble was observed to displace peripherally on injecting more viscoelastic inside the bag, proving the integrity of posterior capsule. Hence, the IOL was subsequently implanted in bag.
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