Scientific Program
TUF6
Chief Author Membership Number
S11779
Chief Author Name
Prof. Dr.Shalini Kumari
Presenting Author
Membership No
Author Name
S11779
Prof. Dr.Shalini Kumari
Title:
Pearls for Management of a Morgagnian Cataract by Phacoemulsification
Abstract Body:
Phacoemulsification surgery done for Morgagnian Cataract is one of the most risky surgery. Utmost care needs to be practised to achieve an uncomplicated outcome. The milky fluid, coming out while making a capsulorhexis, obscures the vision. The liquification of cortical matter leads to loss of support to anterior capsular flap. Key is to make a small rhexis and then, extend it into an adequate sized one with the help of vannus scissor and rhexis forcep As the cortex surrounding the hard nucleus is liquified, doing a normal Stop & Chop or 4- Quadrant Nucleotomy is tough The best technique is to do Direct Chop in supra-capsular zone which puts minimum stress on already weak zonules & posterior capsule Burst mode should be put on in phaco-settings to emulsify & aspirate the hard nucleus Insertion of IOL has to be gentle to avoid any complication, like zonular dialysis Dreaded complications of Nucleus Drop, Posterior Capsular Rent & Zonular dialysis need to be avoided
