| Contraindications |
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| Pre-op | orbital massage or osmotic agents to reduce vitreous pressure |
| Anesthesia | Retrobulbar and lid block Rarely general anesthesia, eg: claustrophobia, dementia, tremor |
| Procedure |
Superior bridle suture May need a scleral support ring in high myopes Peritomy of about 170 degrees Limbal incision of about 170 degrees chord length in the 10 mm range Safety sutures are preplaced - usually 7-O vicryl Small peripheral iridotomy is placed Alpha-chymotrypsin is placed through the PI into posterior chamber to degrade zonules Anterior surface of the lens is dried with a cellulose sponge Cryo probe is placed on mid-periphery of the lens and frozen Lens is removed with a side to side motion through incision Wound is closed with safety sutures Vitreous is attended to if needed Anterior chamber lens is placed Wound is closed with 10-O nylon |
| Post-op: | Similar to ECCE |
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