VT275 : COMBATING BRUNESCENT CATARACT UNDER MINIMAL VISIBILITY

Dr.Dd Verma, Dr.garvita singh, Dr.SAPANA KUMARI

PHACOEMULSIFICATION IN CASES WITH MINIMUM VISIBILITY ARE NOT ONLY CHALLENGING BUT THERE IS CONSTANT THREAT OF UNFORSEEN COMPLICATIONS. THIS CASE HAD SEVERE CORNEAL LIPOID DEGENERATION AND BRUNESCENT CATARACT. MOST OF THE CORNEA WAS HAVING MACULOLEUCOMATOUS OPACITY, ONLY A SMALL QUADRANT OF THE CORNEA WAS CLEARER.THE WHOLE PROCEDURE WAS DONE THROUGH THIS SMALL WINDOW OF VISIBILTY. AFTER INITIAL STEPS , CAPSULORHEXIS WAS MADE LARGER THAN THE USUAL TO EASE FURTHER STEPS. UNDER VISCOAT, DIRECT CHOP WAS DONE WITH SETTINGS 650+ VACCUM TO MINIMISE THE USE OF PHACO ENERGY AND THUS MINIMISING DAMAGE TO THE ENDOTHELIUM. THIS ALSO DECREASES THE SURGICAL TIME. THE NUCLEUS WAS ROTATED AND BROUGHT NEAR THIS WINDOW OF VISIBILTY TO PROCEED WITH CHOPPING AND EMULSIFICATION. AFTER IRRIGATION AND ASPIRATION, PCIOL WAS IMPLANTATED SUCCESSFULLY IN THE BAG.