Anterior capsule in liquified uveitic cataract

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I am a board-certified ophthalmologist interested in asp.net and vb.net programming. I have posted some visual studio programs below to the left to help with common ophthalmic calculations. I occasionally post photos and clinical scenarios from my practice.

If you have questions or comments regarding the Opioid Converter for the iPod and iPhone please email me at alsobol at drsobol.com.

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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 | (1) Comments | Add a comment | Permalink

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calvin said...

Thats my sister i hope your doing good on her eye doc.

Friday, October 19, 2007 9:26 PM