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Zonular dialysis can be handled with proper procedure
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KOLOA, Hawaii — In cases of zonular dialysis during phacoemulsification, if the surgeon does not panic and follows the proper protocol, the surgery can end with a successful IOL implantation, according to a speaker here.
 Robert H. Osher |
During Hawaiian Eye 2010, Robert H. Osher, MD, gave attendees a strategy for handling this complication of cataract surgery. "If we don't panic and we have a game plan, these cases can work out very nicely," he said.
When encountering zonular dialysis, the first step is to control your adrenaline and not withdraw the phaco needle, Dr. Osher said. Instead, it is important to maintain the anterior chamber, using an ophthalmic viscoelastic device to keep the chamber deep.
After that, Dr. Osher implants a capsular tension ring. "It's so easy to put in a CTR, there's no reason anyone in this audience cannot do it," he said.
Once you make sure the anterior chamber and capsular bag have "maximum support, you can put in any IOL you want," Dr. Osher said. Then he removes the OVD. He also recommended keeping the incision hydrated and never letting the anterior chamber become shallow.
Hawaiian Eye and Retina 2011 will be held January 16-21, 2011 at the Hyatt Regency Maui Resort & Spa in Ka'anapali, Maui. Learn more at OSNHawaiianEye.com.