Ophthalmology

Biography

Biography: Satya Prakash Singh

Abstract

The success of cataract surgery in subluxated lens depends upon the ability to implant an endocapsular supporting device and in the bag IOL. Our various modifications in endocapsular ring implantation and fixation minimizes the stress on capsulozonular
complex leading to well expanded, stable and centered capsular bag allowing safe and successful phacoemulsification and implantation of IOL in the capsular bag. A forcep was used for introduction of the CTR/Cionni ring through the main incision and a second instrument sinskey hook, which is introduced through a side port incision was used for guiding the remaining trailing part of CTR/Cionni ring. It prevents inadvertent escape of endo-capsular ring out of the bag in the sulcus, avoids any stress on the anterior capsule margin thereby preventing tear and extension of rhexis margin and it changed vector
force from vertically antero-posterior to horizontally along capsular bag thereby reducing stress on existing intact zonules, preventing posterior dislocation of capsular bag CTR complex into the vitreous cavity. For scleral fixation of cionni ring, we bent the straight needles of double armed 10-0 polypropylene suture and 26-gauge needle. Advantage of using bent curved 26-gauge needle rather than straight needle is that it keeps the direction of the needle tip upwards during passing through the scleral bed into anterior chamber so that the chances of piercing and damaging capsular bag is very unlikely. Secondly, feeding
of the bent curved 10-0 needle into bent curved 26-gauge needle becomes much easier compared to straight needles.