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Hydro-implantation of Rigid IOLs in Manual Phaco (SICS) – A Safety and Efficacy Study

Hydro-implantation of Rigid IOLs in Manual Phaco (SICS) – A Safety and Efficacy Study. ^. Dr. Suvarna Bhagde Sadguru Netra Chikitsalaya, Chitrakoot. Introduction.

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Hydro-implantation of Rigid IOLs in Manual Phaco (SICS) – A Safety and Efficacy Study

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  1. Hydro-implantation of Rigid IOLs in Manual Phaco (SICS) – A Safety and Efficacy Study ^ Dr. Suvarna Bhagde Sadguru Netra Chikitsalaya, Chitrakoot.

  2. Introduction • Classically, in a cataract surgery, IOL is implanted after the capsular bag is inflated and anterior chamber is formed with viscoelastic. • Problems with Viscoelastic– • Takes time to be removed completely from the eye • Often inadvertently left behind causing • Post-operative IOP spikes • Pseudo-anterior uveitis. • To circumvent these problems, we implanted rigid PMMA IOLs under a continuous irrigation of RL from the side-port in manual phaco surgery.

  3. Aim To study safety and efficacy of Hydro-implantation of rigid IOLs in manual phaco (SICS).

  4. Material and Method Nature of Study : Prospective, Non-controlled, Interventional Cohort Study Setting : SadguruNetraChikitsalaya, Chitrakoot Duration : February 2010 Inclusion : 130 eyes of 130 consecutive patients Exclusion : Patients with concomitant Glaucoma Previous intra-ocular surgery

  5. Results 130 eyes of 130 patients Average Age : 58.6 years (Range : 35 to 90 years)

  6. Types of Cataract Two cases of Hypermature Cataract showed Phacodonesis.

  7. Pre-Operative Picture

  8. Intra-Operative Picture

  9. Post-Operative Picture

  10. Discussion • There are no published studies on only Hydro-implantation of IOL in SICS surgery. Work has been done on Blumenthal Technique wherein also the IOL is implanted in visco-free setting by some workers1,2 • Hydro-implantation of IOL has been tried in Phacoemulsification3,4. • Following advantages of Hydro-implantation of IOL are seen: • No OVD-induced intraocular pressure elevation postoperatively • No risk of early capsular bag distension syndrome • Reduced post-operative anterior uveitis. • Improvements in surgical efficiency • Reduced surgical cost • Malik KP, Goel R. Manual of small incision cataract surgery. New Delhi: CBS publishers; 2003. Our technique of Small incision cataract surgery using anterior chamber maintainer: Modified Blumenthal technique; pp. 123–35. • Blumenthal M, Ashkenazi I, Fogel R, Assia EI. The gliding nucleus. J Cataract Refract Surg. 1993;19:435–7. • HarshulTak:Hydroimplantation: Foldable intraocular lens implantation without an ophthalmic viscosurgical device, J Cataract Refract Surg (2010)Volume 36, Issue 3, Pages 377-379 • Shimizu K, Kobayashi K, Takayama S, Zhaobin G:Preloaded injector for intraocular lens implantation without the use of ophthalmic viscosurgical devices. J Cataract Refract Surg. 2008 Jul;34(7):1157-60

  11. Conclusion Thanks Hydro-implantation of IOL is safe in experienced hands with minimal complications and acceptable results.

  12. Thanks Dr. Suvarna Bhagde Consultant, Oculoplasty Department Sadguru Netra Chikitsalaya, Chitrakoot. suvarnabhagde@gmail.com 9984902820

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