Aaron Sobol, MD
  Corneal and Refractive Surgery
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Improving lives through modern technology   

Dr. Sobol is a Board Certified Ophthalmologist practicing in Uniontown Pennsylvania. 

He provides medical and surgical care for eye disease and evaluates people for disorders of the visual system.



Latest Blog Entries

 Thursday, October 04, 2007


Anterior capsule in liquified uveitic cataract   
I had a follow-up today of a patient with idiopathic bilateral panuveitis who had a white liquified cataract.  Here she is pre-operatively.

I was unable to get the anterior capsule to bend over itself to begin the capsulorrhexis, so I just aspirated the cataract through a small linear incision in the anterior capsule.  I extended the tear to 12 and 6 o'clock and oriented the IOL so that the haptics were oriented horizontally and "pushed" the anterior leaflets of the anterior capsule toward the limbus.

Here she is on POD #1.  Note how the anterior capsular leaflets are almost appositional. Over the next week she had a flare-up including a dense vitritis and papillitis.  This all resolved with oral steroids and a sub-Tenon's injection.   You can see the inflammed vessels on her iris.




Here she is today; the leaflets spread away nicely, probably due to tension from the IOL haptics. 


10:33:48 AM  Sunday, October 07, 2007

Addendum: 

I found a better way to do it:
ceiol.com or
http://www.yousendit.com/transfer.php?action=batch_download&batch_id=cUJVc2ZBYTIzMW5IRGc9PQ


alsobol at 11:33 AM | | | Permalink