VT67 : Optimising active fluidics phaco in operated trab with advanced glaucomatous damage”.

Dr.Subhash Prasad, Dr.VIDHATA

Phacoemulsification in patients with advanced glaucomatous damage and oprated trab need special consideration, as these eyes are vulnerable to further damage to high and fluctuating intraoperative intraocular pressure.The key issues are to prevent further damage to already comprised nerve fibre and bleb and prevent late bleb scarring.IOP in gravity fed system can go up to 70-80 mm of hg,which can damage the nerve fibre layer.The eyes with operated trab with thin cystic bleb cannot sustain high pressure and being the thinnest area can give way causing bleb leak.This video will demonstate phaco using active fluidics and keeping the IOP as low as 30 mm during phaco and various other precautions observed to prevent bleb scarring.