Of course

@@mahnoor2183 2 time injection lage or ab green lasure treatment ki bat chal rahi he .....!kya meri baby age chal ke dekh paye gi ?

Hello.

Why you think so?

@@professorsanjivkumargupta5595 i think it's better because you wouldn't have to cut the haptics to make it fit, plus in case you accidently lose the PC , you can still manage to fixate the IOL in the posterior chamber, either Yamane method or sutured to sclera :)

@@defjame5124 As it is obvious that this bag will not accommodate an IOL with normal 12mm diameter. So one has to have a smaller diameter IOL. The choice is between customised one (12-15k INR) or else trim the haptics of standard IOL. Trimming a 3 piece IOL with prolene haptics will produce pointed sharp rigid ends which will puncture the capsule when implanted and manipulated. However as evident this IOL has smooth soft edges when trimmed.

@@professorsanjivkumargupta5595 i thought that the trimmed haptics of the IOL in the video had sharp edges , that's what made me think of the 3 piece in the first place , but it makes sense now. Thank you for the wonderful Video !

Unbearable appreciation!

Contact your doctor, get an oct macula done. It will reveal if the hole has closed. Either way this surgery is very delicate. The closure rate is not 100% and the visual recovery is never as good as the pre hole status. Unfortunately it is the way our retina is designed and the way it heals.

Yes, at times patients are apprehensive. They need sedation but preferably get an anesthetist for various reasons to protect yourself from any legal issues.

@@professorsanjivkumargupta5595 thank you sir

The glow was not that poor, but the pupil size was too small.

I don't think the soft material can tear the capsule. In any case while trimming the haptic avoid creating any sharp corners.

@@professorsanjivkumargupta5595 okay sir

Topical steroids, atropine and antibiotics. Oral anti-inflammatory and steroids if not contraindicated. I do not remember specifically for this case.

Thanks for your interest and counterpoint. However, I know ACIOL are not as bad as the reputation they have earned. What long term complications you have SEEN with these IOLs?

@@professorsanjivkumargupta5595 I can think if AC IOL in patients at 6th or 7 th decades and still it will not be my first option But absolutely not in a 40 years old patient If uncomplicated, endothelial cell loss at rate of 2.5-5% per year is alone is a strong contraindication for putting those IOLs in young patients If patient is diabetic the progression of background diabetics changes will be horrible Cystoid macular edema even if the AC IOL is noncomplicated UCH SYNDROME in your video you didn’t peel the posterior hyaloid and this is a fatal mistake You didn’t indent and trim the vitreous base and this is a fatal mistake You didn’t do a peripheral iridectomy increasing the risk of secondary pupillary block angle closure glaucoma even if the globe is partially vitrectomised Your decision is wrong for the patient age Dr.

This patient presented with dislocated ACIOL on 23 Feb 2024. Today that is on 24 Feb 2024 the patient was operated and the ACIOL was retrieved and placed in the anterior chamber. The pilocarpine has minimal effect as there is traumatic mydriasis also.

You are right. The peripheral iridectomy was done however has been edited out.

Thanks for your attention. Also for the mistake pointed. Actually this patient would have been -3.5 D myopic if left aphakic. My mistake is that I mentioned emmetropia with aphakia.

Sir I've a requsted query. Is spending 8 hours infront of computer screen in a day seriously harmful for a high myopic patient, will it leave any long term affect on eyes or to retina?

Thanks and welcome

Thanks for your appreciation. 1. Keeping the endothelium coated with dispersive visco does help because it prevents nuclear fragments from hitting the endothelium. But remember it cannot protect the endothelium if the nuclear fragments held by the phaco tip are rubbed on the endothelium. 2. The incision size is 2.8 mm. Most IOL injection systems have a tip compatible with this size. So there is no need to increase the incision size. Further if the incision size is increased, the subsequent steps don't have the advantage of a sealed incision and stable chamber. 3. The phaco machine used here is turbo orbit from Appasamy associates, India. It was a pleasant surprise to know that the video is helping veterinary ophthalmic surgeons too. Hope this helps you in your work.

This is the turbo orbit from Appasamy associates.

अमूमन पट्टी की जरूरत नहीं होती है। मगर डॉक्टर किसी वजह से अगर पट्टी करता है तो कोई नुक्सान नहीं है।