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FATHY FAWZY

EOS Meeting

March 2018

Surgical repair involving more than one part of anterior segment structures:

Cornea

Iris

Lens

Anterior vitreous

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Anterior Segment Reconstruction

is NOT

The Primary Repair

But it follows a good time later when inflammation has subsided and things have settled “Not On A Hot Or Infected Eye”.

It is the REHABILITATION.

Metallic IOFB

Loose soft lens matter

Elevated unresponsive IOP

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Remove opacitiesCOLOPupillary membraneHyphema

Prevent or treat glaucoma pupil block PASchronic inflammation

Restore near normal pupillary aperture

Treat refractive errors resulted

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Do you need a corneal graft ?

Will you need to repair the iris ?

Leave or remove natural lens or IOL?

Is visual axis clear?

How are you going to correct aphakia ?

Will IOP be controlled by reconstruction or would need

glaucoma surgery?

Improves VA

Stabilizes IOL

Improves cosmoses

Prevents glaucoma ,PAS

Improves survival of corneal grafts

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It is not a heroic surgery.

It’s a structured well planned technique.

Yet subject to versatility during course of the procedure.

Requires long term care and good understanding of both surgeon and patient family.

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