Indian Journal of Ophthalmology
Authors: Dr Lav Kochgaway, Dr Partha Biswas, Dr Ajoy Paul, Dr Sourav Sinha, Dr Rupak Biswas, Puspen Maity
This study was done to compare the results of posterior continuous curvilinear capsulorhexis created using forceps with those created using vitrector in eyes suffering from congenital cataract. 50 eyes with congenital and developmental cataract were included in the study. The posterior capsulorhexis was created using utrata forceps in 17 eyes or through a vitrector in 33 eyes. Forceps Capsulorhexis was performed before IOL implantation, while vitrectorhexis was performed after IOL implantation in the bag. Results of both the surgery was compared using the following criteria – incidence of extension of rhexis, ability to achieve posterior rhexis of appropriate size, ability to implant the IOL in the bag, the surgical time and learning curve.Vitrectorhexis after IOL implantation was an easy to learn alternative to manual PCCC in Pediatric CataractSurgery. It was more predictable and reproducible, with a short learning curve and lesser surgical time.
Indian Journal of Ophthalmology May 2012
Authors: Dr Partha Biswas, Dr Lav Kochgaway, Dr Subhrangshu Sengupta, Dr Ajoy Paul Foldable intraocular lens (IOL) implantation using an injector system through 2.8-mm clear corneal incision following phacoemulsification provides excellent speedy postoperative recovery. In our reported case, a Sensar AR40e IOL (Abbott Medical Optics, USA) was loaded into Emerald C cartridge, outside the view of the operating microscope, by the first assistant. The surgeon proceeded with the IOL injection through a 2.8-mm clear corneal incision after uneventful phacoemulsification, immediately following which he noted a Descemet's tear with a rolled out flap of about 2 mm near the incision site. Gross downward beaking of the bevelled anterior end of the cartridge was subsequently noticed upon examination under the microscope. We suggest careful preoperative microscopic inspection of all instruments and devices entering the patient's eyes to ensure maximum safety to the patient.
Bengal Ophthalmic Journal November 2010
Authors: Dr Lav Kochgaway
A retrospective analysis of 100 eyes undergoing pediatric cataract surgery in terms of refractive outcome was done. Conclusion – IOL surprise is an added problem area to already complex issue of IOL power calculation in pediatric cataract patients. Poor patient co-operation seems to be one of the confounding factors. It may be countered by sedating the patient while performing biometry, twoindependent readings or doing biometry on the operation table after the child has been anesthetized. Its incidence needs to be re-estimated after taking these measures.