
If vitreous presents at any time during the procedure, it should be completely removed from the anterior chamber. Posterior capsular tear occurs since the expansile forces may cause the capsular bag to rupture. Fig16: The straight needle with 10,0 prolene is docked into the lumen of 26 G needle in the posterior chamber. In conclusion, CTR and MCTR have made it possible to save and recenter the capsular bag, and perform in the bag PCIOL implantation in cases of subluxated cataracts revolutionizing the approach to subluxated cataracts. If the nucleus is soft, supracapsular phacoemulsification will virtually eliminate zonular stress. This will create a space for the ring and dissect the residual cortex away from the peripheral capsule.

It is easier to inject a foldable IOL in comparison to a PMMA lens but either can be used. Kenalog (Alcon) (triamcinolone suspension) can be used to identify vitreous in the anterior chamber. Management of profound zonular dialysis or weakness with a new endocapsular ring designed for scleral fixation. Fibrin glue assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules.

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