Modified bandage-contact-lens used as a guide-marker for performing continuous-curvilinear-capsulorhexis by a first-year-post-graduate-ophthalmology-resident
Purpose: To define the use of modified bandage-contact-lens as a guide-marker for performing continuous-curvilinear-capsulorhexis by a first-year-post-graduate-ophthalmology-resident. Observation: Phacoemulsification has now become the standard cataract surgery in which anterior capsulorhexis is the...
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doaj-9a89f05afb0e4067b25345aad64e35d52020-12-21T04:46:58ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362020-12-0120100889Modified bandage-contact-lens used as a guide-marker for performing continuous-curvilinear-capsulorhexis by a first-year-post-graduate-ophthalmology-residentMayuresh P. Naik0HarinderSingh Sethi1Pulkit Kasiviswanathan2Department of Ophthalmology, H.I.M.S.R & H.A.H.C Hospital, Near GK-2, Alaknanda, NewDelhi, 110062, India; Corresponding author. Room No.3 of Eye OPD, 1st floor of OPD building, India.Department of Ophthalmology, V.M.M.C & Safdarjung Hospital, Ring Road, Ansari Nagar, Newdelhi, 110029, IndiaDepartment of Ophthalmology, H.I.M.S.R & H.A.H.C Hospital, Near GK-2, Alaknanda, NewDelhi, 110062, IndiaPurpose: To define the use of modified bandage-contact-lens as a guide-marker for performing continuous-curvilinear-capsulorhexis by a first-year-post-graduate-ophthalmology-resident. Observation: Phacoemulsification has now become the standard cataract surgery in which anterior capsulorhexis is the first and most crucial step. A perfect capsulorhexis is difficult to learn and even more difficult to master with a steep learning curve when performed free-hand especially by a first-year post-graduate ophthalmology-resident. There is paucity of simple, single-use, easily portable, cost-effective and affordable devices designed especially for performing CCCs in a safe and reproducible way.In our technique, the bandage contact lens (BCL) is trephined using a 6mm corneal trephine. After topical or peribulbar block (as the case may be), the 6mm-guide-marker (trephined BCL) is placed on the cornea. The CCC is then completed using the edge of the contact-lens as a guide for CCC. Conclusion: AND IMPORTANCE: CCC with contact-lens-guide-marker is expected to yield better results in carrying out the procedure more accurately being closer to the target in terms of size, circularity and centration as compared to contact-lens-unassisted conventional CCC. This would eventually facilitate better surgical outcomes and we recommend this to be applied as the standard protocol for first-year post-graduate ophthalmology-resident performing the surgery.http://www.sciencedirect.com/science/article/pii/S2451993620302048Continuous-curvilinear-capsulorhexisBandage-contact-lensGuide-mark |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mayuresh P. Naik HarinderSingh Sethi Pulkit Kasiviswanathan |
spellingShingle |
Mayuresh P. Naik HarinderSingh Sethi Pulkit Kasiviswanathan Modified bandage-contact-lens used as a guide-marker for performing continuous-curvilinear-capsulorhexis by a first-year-post-graduate-ophthalmology-resident American Journal of Ophthalmology Case Reports Continuous-curvilinear-capsulorhexis Bandage-contact-lens Guide-mark |
author_facet |
Mayuresh P. Naik HarinderSingh Sethi Pulkit Kasiviswanathan |
author_sort |
Mayuresh P. Naik |
title |
Modified bandage-contact-lens used as a guide-marker for performing continuous-curvilinear-capsulorhexis by a first-year-post-graduate-ophthalmology-resident |
title_short |
Modified bandage-contact-lens used as a guide-marker for performing continuous-curvilinear-capsulorhexis by a first-year-post-graduate-ophthalmology-resident |
title_full |
Modified bandage-contact-lens used as a guide-marker for performing continuous-curvilinear-capsulorhexis by a first-year-post-graduate-ophthalmology-resident |
title_fullStr |
Modified bandage-contact-lens used as a guide-marker for performing continuous-curvilinear-capsulorhexis by a first-year-post-graduate-ophthalmology-resident |
title_full_unstemmed |
Modified bandage-contact-lens used as a guide-marker for performing continuous-curvilinear-capsulorhexis by a first-year-post-graduate-ophthalmology-resident |
title_sort |
modified bandage-contact-lens used as a guide-marker for performing continuous-curvilinear-capsulorhexis by a first-year-post-graduate-ophthalmology-resident |
publisher |
Elsevier |
series |
American Journal of Ophthalmology Case Reports |
issn |
2451-9936 |
publishDate |
2020-12-01 |
description |
Purpose: To define the use of modified bandage-contact-lens as a guide-marker for performing continuous-curvilinear-capsulorhexis by a first-year-post-graduate-ophthalmology-resident. Observation: Phacoemulsification has now become the standard cataract surgery in which anterior capsulorhexis is the first and most crucial step. A perfect capsulorhexis is difficult to learn and even more difficult to master with a steep learning curve when performed free-hand especially by a first-year post-graduate ophthalmology-resident. There is paucity of simple, single-use, easily portable, cost-effective and affordable devices designed especially for performing CCCs in a safe and reproducible way.In our technique, the bandage contact lens (BCL) is trephined using a 6mm corneal trephine. After topical or peribulbar block (as the case may be), the 6mm-guide-marker (trephined BCL) is placed on the cornea. The CCC is then completed using the edge of the contact-lens as a guide for CCC. Conclusion: AND IMPORTANCE: CCC with contact-lens-guide-marker is expected to yield better results in carrying out the procedure more accurately being closer to the target in terms of size, circularity and centration as compared to contact-lens-unassisted conventional CCC. This would eventually facilitate better surgical outcomes and we recommend this to be applied as the standard protocol for first-year post-graduate ophthalmology-resident performing the surgery. |
topic |
Continuous-curvilinear-capsulorhexis Bandage-contact-lens Guide-mark |
url |
http://www.sciencedirect.com/science/article/pii/S2451993620302048 |
work_keys_str_mv |
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