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22. Kongress der DGII 2008
Abstracts DGII 2008
V17
Management options for zonular dialysis
Kim WS
Pusan (Südkorea)
I will demonstrate proper evaluation for earliest detection of zonular
dialysis, preoperatively and intraoperatively. In cases with significant
zonular weakness of more than 180 degrees, it is unlikely that
the surgeon will be able to remove the lens while maintaining the
capsular bag for PC IOL support. I have been trying to minimize the
risk of vitreous loss by controlling the fluid misdirection using “Iris
retractor”. “Slow Phaco” was performed. IOL was sutured in the
sulcus without disturbing the vitreous face. Surgery is performed
under complete compartmentalization of the surgical field to minimize
the vitreous hydration. Size of the capsulorhexis, location and
direction of the IOL is important in minimizing zonular detachment
during follow up period.
Erschienen in: Klin Monatsbl Augenheilkd 2008; 225: Suppl 1, S1–S24 |