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Cataract Extraction With IOL Implant
This lady had bullous detachment she underwent scleral buckling operation, in this operation conjunctiva is open first allround, muscles of eye are theraded. The retinal hole is localised & cryoed. opening is made in sclera to remove sub retinal fluid which is caused retina detachment. Scleral sutures are passed, silicon buckle is put beneath the muscle to support the retinal hole, air is injected. Conjunctiva is closed all round.
This patient had Retinal detachment with decentered intra ocular implant. The surgery clip shows the centration of IOL. Then doing a procedure called vitrectomy where is diseased. Vitreous is removed by cutter; The epiretinal & subretinal membrane or scar tissue is removed. Retina put back in position, laser is done to retinal holes, Silicon oil is injected; sclerotomies (The opening in eye) are sutured. Scleral buckle is put & conjunctival is sutured. Patient has done well
This patient had vitrectomy for giant retinal tear. He underwent silicon oil removal along with cataract & lens implant operation. Initial part of the clip shows silicon oil removal from the eye the later part shows cataract operation. Initial opening in the capsular bag is made the nucleas is rotated it goes behind it is retrieved by phaco fragmentation (Phaco emulsification done in vitreous cavity) after the nucleaus is removed another lens is put in the sulcus.
This patient had retinal detachment in left eye with large Retinal Horse Shoe Tears. She underwent vitreous surgery to remove diseased vitreous by cutter, also at vitreous base. Steroid powder which was injected to stain vitreous went sub retinal through retinal breaks it was removed through retinotomy (Induced Retinal Break) near optic disc. Sub retinal steroid powder was removed, sub retinal fluid was drained through retinal break & retina was reattached & laser was done to retinal break, 5000 CS silicon oil was injected, no scleral buckle was put. The post operative photographs showed nicely attached retinal with good laser marks.
This lady had a soft cataract. Initial opening in the capsule made after staining the capsule bluish with dye then cataract removed by phaco aspiration & foldable intra ocular lens put in the eye
This patient had acute retinal detachment. He underwent vitrectomy to removed opaque vitreous, reattaching retina by removing fluid form beneath retina & injecting air, doing cryopexy & putting scleral buckle. The pre operative photographs shows superior detachment & the post operative photographs shows retina nicely attached.
Mr. Upendra Shah had Giant Retinal Tear with Detachment. Initial video shows opening of conjunctiva (Outer layer of eye) then making opening in the eye for vitreous surgery then doing vitrectomy where in opaque vitreous is removed with vitreous cutter & Giant retinal tear is seen in one corner. After putting perflurocarbon liquid the retina is reattached is nicely. Laser (Green light) is being applied to the giant retinal tear. Silicon oil is injected, scleral buckle is put beneath muscles with stitches & conjunctiva is closed. The last photograph is shows post operative attached retina.
Ref No 09-02043 Vitrectomy for PDR