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    Phacosection Before Vitreoretinal Surgery

    By Meda S. Ravindra, MBBS
    Cataract/Anterior Segment, Retina/Vitreous

    Dr. Meda Ravindra performs a phacosection on a hypotonous eye prior to vitrectomy and scleral buckling. After scleral limbal peripheral corneal entry is made, a 23-gauge needle is used to aspirate and release the pressure in the capsular bag. Once the tunnel is enlarged, a rhexis is performed. The lens mattress is soft enough to be easily rotated and removed from the capsular bag. Viscoelastic is used to fill the chamber so that a new lens can be placed inside, and the tunnel is sealed after the viscoelastic is aspirated out.

    Financial Disclosures: Dr. Meda Ravindra discloses no financial relationships.