Capsule Rupture

Capsule Rupture
EyeWorld_Oct_2016

Signs:
pupil suddenly bouncing or snapping
increase or decrease in the AC depth
Momentary spider of the PC
Lenticular material suddenly stops coming to the phaco tip

FIRST of ALL:
Keep irrigating and have the OVD in the eye

THEN:
Compartmentalizing the eye prior to lens remnant removal
Use of triamcinolone

Approach to vitreous
1. Cut first, then I/A
2. CUT: highest cut rate
3. I/A: slow flow rate: peristaltic flow setting: 15 to 20

Vitrectomy approaches
pars plana: preferred with a risk of hemorrhage


Lens placement
three-piece IOL in the sulcus with capture of the optic inside


Dr. Yu-Hao Lin, MD
Deputy superintendent, Brand New Eye Clinic
http://www.eyeDrLin.tw