Table of Contents - WOC 2012

WOC2012 Abstract Book
VI-CAT-68
Rock drill chop in hard cataracts
Reddy Sidhartha (1) , Kondreddy Rupak Kumar Reddy (1)
1. Medivision Eye Care Center
A novel way of cracking hard cataracts is presented in the video.Phaco tip is
embedded into the nucleus and took out to relese occlusion.this process
is repeated so that it›s drilled into the depth of the nucleus. After the core
is reached , normal direct chop is done. This is applicable to upto grade 6
cataract. We have done 60 such cases without untoward complications.
VI-CAT-69
Multiple chops
Reddy Sidhartha (1) , Kondreddy Rupak Kumar Reddy (1)
1. Medivision Eye Care Center
A novel way to crack the nucleus is presented in the video. Cracking the
nucleus into 5 pieces in one go by embedding the nucleus with the phacoprobe
just once and then choppins the nucleus with the chopper 5 times.
VI-CAT-70
Phacoemulsification and small pupil.
Febbraro Jean Luc (1) , Weiser Marc (2) , Gatinel Damien (1)
1. Rothschild Foundation
2. Clinique Jouvenet
Purpose: To illustrate the prevention and the management of challenging
phacoemulsification surgery related to poor pupil dilation.
Summary Of Content: The video highlights the main causes of poor dilation
and details the surgical options to optimize the postoperative outcome. Clinical
results of the incidence of intraoperative floppy iris syndrome in patients treated
with tamsulozine are presented.
VI-CAT-71
The Butterfly: A New Capsular Support Device.
Mehta Keiki (1) , Mehta Cyres (1)
1. Mehta International Eye Institute
Purpose: In a subluxated lens, when the capsular dehiscence exceeds 180
degrees the only option is to utilise sutures either to a ring or to the subsequently
implanted lens directly, or to small anchor type devices, all of which are difficult
to handle and difficult to place the sutures. Method: A new foldable device
has been designed which like a butterfly folds its wings, permits insertion via
a 2.8mm incision via its own injector which is pre-sutured to a 10/0 nylon.
The suture is passed through the bag and out to the sclera, next the device is
injected which then unfolds its wings giving 180 degree, exceptional support to
the capsule. Results. In 18 cases the butterfly has worked very well, properly
expanding the bag, permitting easy suturing through the device with a broad
successful hold. In all of them the device proved very successful.
Conclusion: This simple device, works like a dream, is wonderfully easy to use
and always effective.
442
VI-CAT-72
Prevent Blow In: Successful Strategy for Posterior Sub-Capsular
Cataracts.
Mehta Keiki (1) , Mehta Cyres (1)
1. Mehta International Eye Institute
Purpose: To develop a capsular support device which can be injected in the
eye, which can be simultaneously sutured to the sclera.
Methods: In a subluxated lens, when the capsular dehiscence exceeds 180
degrees the only option is to utilise sutures either to a ring or to the subsequently
implanted lens directly, or to small anchor type devices. A new foldable device
has been designed which like a butterfly folds its wings, permits insertion via a
2.8mm incision via its own injector which is pre-sutured to a 10/0 nylon which
then unfolds its wings giving 180 degree, exceptional support to the capsule.
The unit is then sutured to the sclera so that it gives 180 degrees support
effectively.
Results: Used in 16 cases, it has proven to be very effective and stable. Only
in 1 case did traction on the unit lead zonular dehiscence.
Conclusion: A simple safe device, very easy to insert, simple to position,
effective in its function and can be simply sutured to the sclera.
VI-CAT-73
The Lifeboat, A Stabilizer System: Permits Easy Phacoemulsification
Even In The Presence Of A Posterior Capsular Break.
Mehta Keiki (1) , Mehta Cyres (1)
1. Mehta International Eye Institute
Purpose: A new support device using a disc of Hema for supporting lens
fragments for phacoemulsification in a broken capsule. Method: A disc of Hema
9.2mm in diameter is inserted via an injector through a 2.8mm previously made
for phaco. The disc rests on the iris. Nuclear fragments are placed anteriorly,
phaco completed and the lifeboat removed.
Result: 118 cases over 3 years have shown this simple method can permit
phaco to continue. After phaco, if the capsule rhexis is intact the IOL can be
placed anteriorly or simply sclerally sutured.
Conclusion: A simple, safe, functional device which, if the capsule breaks
during surgery, can permit phaco to be completed safely.
VI-CAT-74
The hard rock cafe video
Mehta Cyres (1) , Mehta Keiki (1)
1. International Eye Centre
The video will in just a few minute show 5 cases with varying grades of
hardness and pupil size how simple application of force vectors can efficiently
and safely chop the hardest lenses without using high power.How to use the
same technique even in 2 mm phaco,even with a conventional machine will
be discussed.
VI-CAT-75
ten years of the hammock
Mehta Cyres (1) , Mehta Keiki (1)
1. International Eye Centre
The hammock was conceived a decade ago and presented at ascrs.this device
prevents nuclear fragments falling into the vitreous after a capsular break.this
device is invaluable in training beginners and intermediates in phaco.it is a 5
mm by 12 mm hema rollable device injected into the eye over the capsular
break.see it to believe it