Dr.Debashis Dutta, Dr.Ayan Mohanta, Dr.Arup Bhaumik, Dr.Manas Kumar Ghosh
Trauma to the eye is not uncommon but more often than not is forgotten if it had occurred long back.Many a times it is rediscovered at the Operating table when the surgeon discovers a Zonular dialysis or a florid vitreous prolapse through a sectorial dialysis during cataract surgery.To contain a vitreous prolapse it has to be nipped at its source.So it is an obligatory requirement that pars Plana and not limabal vitrectomy is done.If we attempt to do limabal vitrectomy then the vitrectomy will be unsatisfactory and if one ventures below the iris he is most likely to end up with iatrogenic iridectomy and thereafter an irregular pupil.So one must resort to limabal vitrectomy 23G or the like,under cover of capsular hooks and CTRs.This is the full proof way to manage vitreous prolapse through sectorial Zonular dialysis.
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