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Description
Cataract extraction (CE) in the presence of choroidal effusion following trabeculectomy is challenging. If the effusion is drained first, deepening of the anterior chamber can make CE difficult. Conversely, CE before drainage can be difficult due to shallowing from mass effect. In this video, a scleral window is created for limited drainage; after closure of the window, complex CE is performed. The window is reopened during irrigation/aspiration and again after CE.
Cataract extraction (CE) in the presence of choroidal effusion following trabeculectomy is challenging. If the effusion is drained first, deepening of the anterior chamber can make CE difficult. Conversely, CE before drainage can be difficult due to shallowing from mass effect. In this video, a scleral window is created for limited drainage; after closure of the window, complex CE is performed. The window is reopened during irrigation/aspiration and again after CE.
Filed Under
Cataract
challenging case
choroidal drainage
cataract extraction
complex cataract
surgical technique
2019 film
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This film was submitted to the 37th Annual ASCRS Film Festival within the 2019 ASCRS ASOA Annual Meeting.