and Supplies

May 26, 2017 by in OPHTHALMOLOGY Comments Off on and Supplies

Fig. 1 Lieberman speculum The Barraquer wire vspeculum is commonly used in SICS as there is no bar to restrict the instruments used. It is cheaper and easily available in…

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Incision

May 26, 2017 by in OPHTHALMOLOGY Comments Off on Incision

Fig. 1 A surgical anatomy of the limbus Anterior limbal line – corresponds to termination of the Bowman’s membrane Mid limbal line – corresponds to the termination of the Descemet’s…

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Capsular Opening

May 26, 2017 by in OPHTHALMOLOGY Comments Off on Capsular Opening

Fig. 1 Initiation of CCC with central puncture Either the tip of the cystotome or a forceps is used to fold over the capsular flap akin to a folded napkin…

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Delivery

May 26, 2017 by in OPHTHALMOLOGY Comments Off on Delivery

Fig. 1 Prolapsed lateral pole of the nucleus Viscoprolapse One pole of nucleus can be prolapsed by injecting 2 % hydroxypropyl methylcellulose (HPMC) under the capsulorrhexis near the capsular fornix….

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Insertion

May 26, 2017 by in OPHTHALMOLOGY Comments Off on Insertion

Fig. 1 Partial overlap Rigid IOL Polymethyl methacrylate has good structural memory and rigidity that resists optic decentration due to capsular fibrosis but it has a tendency to break if…

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Closure

May 26, 2017 by in OPHTHALMOLOGY Comments Off on Closure

Fig. 1 Vertical sutures Horizontal Sutures Horizontal sutures, on the other hand, are more physiological. Being oriented perpendicular to the inner corneal lip, they do not affect it. They close…

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Removal

May 26, 2017 by in OPHTHALMOLOGY Comments Off on Removal

Fig. 1 (a) Simcoe cannula tip and hub. (b) Simcoe cannula This design is the regular Simcoe design, whereas a similar device known as the reverse Simcoe cannula has the…

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Hydrodissection

May 26, 2017 by in OPHTHALMOLOGY Comments Off on Hydrodissection

Fig. 1 The hydrodissection cannula is placed beneath the margin of anterior capsule and fluid is injected. Initiation of the fluid wave is seen Fig. 2 Fluid wave progresses and…

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Prep/Drape

May 26, 2017 by in OPHTHALMOLOGY Comments Off on Prep/Drape

Fig. 1 Superior rectus bridle suture (a). Superior conjunctiva exposed. (b). Superior rectus muscle grasped. (c) Suture passed under the muscle (d). Globe steadied by pulling and clamping the suture…

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from Phacoemulsification to MSICS

May 26, 2017 by in OPHTHALMOLOGY Comments Off on from Phacoemulsification to MSICS

Fig. 1 (a–c) Techniques for enlarging the capsulorrhexis when converting from phacoemulsification to MSICS. (a) Nick the capsulorrhexis edge to create a new flap, then tear this flap 360 degrees;…

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