I.A and IOL Implantation A.R.Ashtari MD 1387 ADVANTAGES OF COMPLETE CORTICAL ASPIRATION a.Faster recovery of visual acuity b.Decrease postoperative uveitis.

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Presentation transcript:

I.A and IOL Implantation A.R.Ashtari MD 1387

ADVANTAGES OF COMPLETE CORTICAL ASPIRATION a.Faster recovery of visual acuity b.Decrease postoperative uveitis c.Less chances of PCO d.Proper contraction of IOL e.Posterior segment visibility is improved f.Capsular contractive may be reduced g.Reduced incidence of cystoid macular edema

1. Automated Cortical Aspiration 2. Manual

Automated Irrigation Aspiration Systems A. Single handpiece I/A systems 1. with silicone sleeve 2. sleeveless B. Bimanual irrigation aspiration system

Manual I/A system A. Simcoe I/A cannula B. Reverse simcoe I/A cannula C. J.shaped irrigation Aspiration cannula

Doha, August 2007

Guidelines For ADEQUATE cortical aspiration 1. Ultrasonic tip should never be used for cortical aspiration 2. In young pts 3. Different diameters of aspirating ports can be used(0.2,0.3,0.5 and 0.7mm) 4. Functioning of I/A hand piece must be checked before entering in to the AC

5. The vacuum should be kept at 400 to 500 mmHg and the flow rate between 25 to 35cc/min 6. The entry in to the AC in made with irrigation on. 7. The aspiration port of the tip should face Anteriorly 8. The tip of the instrument is gently inserted into the capsular fornix

ضمن عرض پوزش بدلیل حجم بالای LECTUER ادامه اسلاید ها امکان پذیر نمیباشد در صورت نیاز به ادامه لطفا به واحد سمعی و بصری مرکز آموزشی درمانی فیض مراجعه و یا با شماره تلفن داخلی 392 تماس حاصل نمائید با تشکر