New Technique to Manage Vitreous Pressure During the Triple Procedure

Authors

V. S. Nirankari, Corneal Services, Eye Consultants of Maryland

Ashok Sharma, Cornea Centre, Chandigarth, India

Purpose

New technique of insertion of PCIOL in spite of positive vitreous pressure during the Triple Procedure

“OPEN SKY” ECCE/PK

ADVANTAGES

ONE INCISION GOOD VISUALZATION SATISFACTORY VISUAL RESULTS

Advances in Corneal transplatation during the triple procedure

Advances in Corneal transplantation during the triple procedure

Advances in Corneal transplantation during the triple procedure

“Open Sky” ECCE/PK Disadvantages

Open sky with increased risk of positive pressure, scleral collapse

Forward herniation of the iris / posterior capsular rupture and vitreous loss

Increased risk of choroidal hemorrhage Uncertainty of exact placement of the posterior

chamber IOL

SURGICAL ADVANCES

Suturing of donor after nucleus expression with interrupted sutures

I & A thru graft host junction Implantation of posterior chamber IOL

thru graft host junction

Results

32/34 eyes had successful implantation of the PC IOL

One eye had one haptic in front of iris, successfully repositioned

No incidence of capsular rupture, vitreous loss or lens dislocation

All grafts were clear

Conclusions

This new technique allows successful placement of a PC IOL in spite of positive vitreous pressure during the triple procedure. All grafts were clear; with no incidence of capsule rupture, vitreous loss or lens dislocation.