Posters

Tackling the surgical challenges in open sky cataract surgery in small pupil eyes

Poster Details

First Author: B.Singh INDIA

Co Author(s):    S. Bharti   N. Bharti                 

Abstract Details

Purpose:

To evaluate the outcomes of two innovative surgical tools for enhancing the cataract surgery outcomes in open sky triple procedures.

Setting:

Bharti eye hospital, New Delhi, India

Methods:

This is a prospective interventional study. Sixteen eyes of 16 patients underwent keratoplasty + cataract extraction+ IOL implantation. Only eyes with a small non-dilating pupil were included in the study. For performing capsulorhexis, either pupillary expansion device (Malyugin ring) or precision pulse technology (Zepto system) was used. Patients were divided into 2 groups depending upon the device used. The main outcome parameters were formation of a well-centered capsulorhexis, size of capsulorhexis and in-the-bag IOL implantation. Intraoperative complications were also noted.

Results:

Both the devices significantly improved the chances of achieving a capsulorhexis in open sky cataract surgery. All cases performed with Zepto system achieved a well-centered capsulorhexis. In-the-bag IOL implantation was done in all cases. In Malyugin ring group, 1 patient had capsulorhexis extension.

Conclusions:

Malyugin ring as well as Zepto system proves to be a reliable assisting tool for performing perfect capsulorhexis in open sky cataract surgery in eyes with non-dilating small pupils.

Financial Disclosure:

None