I suggest you do away with the sinsky on delivery...just use an irrigating vectis...fill the chamber w visco..then slide the vectis under the nucleus...then gently pull the vectis toward the wound while doing 2 things....countertraction at 6:00 with the left had holding sclera with a .3 mm toothed forceps...and gentle squirts of bss into the chamber from the irrigating vectus...also press gently on the lower lip of wound to open the valve...it works...
1-The nucleaus floating in AC in in sandwitch between Visco above it to protect the endothelium and below it to get the iris plan posteriorly
2-While delivery my assestance will be pulling on the SR bridle suture thus will open the posterior lip of my wound to make it more wide
3-I do deliver the nucleas with 2 mahines, scope below and sinesky above so while deleivery i express with the scope posterior to be sure i am away of the endothelium
i agree it was a bit deep, though there were no prolapse of iris root or cb, and i managed by making my tunnel superficial to it....so that i dont have premature ac entry
I suggest you do away with the sinsky on delivery...just use an irrigating vectis...fill the chamber w visco..then slide the vectis under the nucleus...then gently pull the vectis toward the wound while doing 2 things....countertraction at 6:00 with the left had holding sclera with a .3 mm toothed forceps...and gentle squirts of bss into the chamber from the irrigating vectus...also press gently on the lower lip of wound to open the valve...it works...
cruser75fj 3 years ago
what are the size of iol optic you prefer and what are the type
please
muna71 3 years ago
please how can you dilver the nuclous from the bag i try it today but the nuclous swell and i fear from rupture posterior capsule
muna71 3 years ago
tell me how can you delive the nuclous without touch the endothelium please
muna71 3 years ago
Very simple and easy
1-The nucleaus floating in AC in in sandwitch between Visco above it to protect the endothelium and below it to get the iris plan posteriorly
2-While delivery my assestance will be pulling on the SR bridle suture thus will open the posterior lip of my wound to make it more wide
3-I do deliver the nucleas with 2 mahines, scope below and sinesky above so while deleivery i express with the scope posterior to be sure i am away of the endothelium
elmotasem 3 years ago
i think it is more hazardous to cornea therefore i do't like such surgery
muna71 3 years ago
sorry i dont agree with you at all
if u do it well will have a clear crystaline cornea first day i promise you
elmotasem 3 years ago
i think the external scratch reached the supraciliary space
tito788 4 years ago
i agree it was a bit deep, though there were no prolapse of iris root or cb, and i managed by making my tunnel superficial to it....so that i dont have premature ac entry
elmotasem 4 years ago
Nicely done !
eyemechanic 4 years ago