Vinit Mutha
Rajendra Prasad Centre for Ophthalmic Sciences, India
Title: Pseudo-exfoliation syndrome and capsulorhexis: Common mistakes
Biography
Biography: Vinit Mutha
Abstract
Pseudoexfoliation syndrome consists of deposition of exfoliative material on lens capsule, papillary margin, trabecular meshwork, lens zonules and endothelium which leads to poor visibility and potential complications such as phacodonesis, subluxation, posterior dislocation of lens, glaucoma and has a higher risk of posterior capsular rent during cataract surgeries. In this surgical video, 50 year old male patient with pseudo-exfoliative syndrome was undergoing capsulorhexis as a part of phacoemulsification surgery for immature senile and posterior sub-capsular cataract. There was no lens sub-luxation or phacodonesis in the preoperative period. Pseudo-exfoliative material was deposited on anterior capsule hampering visibility on coaxial illumination which was subsequently changed to retro-illumination mode with better visibility. Capsulotomy forceps were used to complete the capsulorhexis. Incorrect judgment lead to premature pulling out of forceps in the middle of capsulorhexis but there was no capsulorhexis extension. Procedure was completed without any complication and patient gained 20/40 vision on 1st postoperative day. To conclude, this video shows the importance of retroillumination, capsulorhexis forceps and good judgment while doing a capsulorhexis in pseudoexfoliation syndrome with poor visibility.