Phacosection Before Vitreoretinal Surgery

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.