Dr.JAYANAND URKUDE, Dr.Namrata Sharma
A 55-year-old patient presented with complaint of diminution of vision. Visual acuity (VA) was hand movement close to face with projection of rays accurate in all quadrants (OD) and 20/200(OS). Slit lamp examination revealed mature senile cataract in right eye and immature senile cataract of grade 4 nuclear sclerosis in left eye. Intraocular pressure was within normal range. B-scan ultrasonography was anechoic. Diagnosis of senile cataract was made and patient was planned for right eye phacoemulsification. Intraoperatively uneventful capsulorrhexis and phacoemulsification was done but during irrigation and aspiration, a large posterior capsular (PC) dehiscence was noted along with an intact empty space behind it. But there was no evidence of vitreous prolapse even in the presence of a large PC defect. This video even demonstrates uneventful polishing of both the posterior capsules followed by intraocular lens implantation. Postoperatively IOL was stable with VA of 20/20.
Leave a Comment