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  5. VT0093 : Subluxation Cataract – CTR early/late dilema

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Chief & Presenting Author: Dr.Diptesh Das

Co Author(s): Dr.Dr. Sumit Kumar Biswas

Abstract

This was a surgery for a traumatic cataract with inferior subluxation. The zonular absence was not much (about 4-5 clock hours) so I planned to insert a CTR after doing the phacoemulsification. After careful rhexis and hydrodissection I started phacoemulsification. the phacoemulsification was uneventful, but as soon as I came out lots of vitreous was coming out of the wound, pushing the bag and making the anterior chamber very shallow. I started careful vitrectomy from the wound because if I become too aggressive I may injure the bag. But more and more vitreous was coming. I tried to fill the bag with viscoelastic so that I can insert a CTR and make the vitrectomy and the surgery safe. but I could not form the bag due to vitreous pressure. It was evident I have to clear all vitreous for the CTR to go in. I did so by securing the bag with the irrigation port. Once the vitrectomy was completed, putting a CTR and giving an IOL was a piece of cake.