Retinitis Pigmentosa and cataract: What precautions should we take

• 30 May 2020
• Dr. Sourabh Patwardhan
• 496
• 0

In this video, a case of phacoemulsification technique in a patient of retinitis pigmentosa is demonstrated. These patients are more prone to anterior capsular phimosis and decentration of IOL.
We aim for larger capsulorhexis atleast 5-5.5 mm size.
in this case of very soft PSC cataract, after good hydrodissection and hydrodileniation , i prolapse the endonucleus and aspirate it. while doing cortical aspiration, avoid catching the anterior capsule , because the zonules are lax. So keep the vacuum low near anterior capsule, and pull the cortex tangentially and posteriorly. Prefer hydrophobic IOL in these cases to avoid anterior capsular phimosis and decentration. I prefer placing a CTR in all cases of RP, to avoid bag decentration.Thorough visco was is done. In case of macular edema preop, intravitreal steroids can be considered.

Published By Dr. Sourabh Patwardhan

FRCS (UK), MS (AIIMS), DNB, MNAMS, FICO

Director, Nandadeep eye hospital, Sangli,India.
He heads a very popular Phaco training and fellowship program.