Anterior capsule in liquified uveitic cataract

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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.

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Thursday, October 4, 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