Iris expansion Ring
Mastering Iris Expansion with the Malyugin Ring Expanding the pupil is a crucial step in many complex cataract surgeries, and […]
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Capsular tension Ring Maneuvers
Mastering CTR insertion requires precision and controlled movements to protect delicate ocular structures. The process begins with cohesive viscoelastic injection to maintain space and safeguard the endothelium. Proper injector positioning ensures smooth entry, while a secondary instrument helps guide the CTR into the weakened zonules without sudden force.
Cortex removal follows, requiring low-vacuum aspiration (200 mmHg) and careful bimanual manipulation to prevent posterior capsule damage. Gentle lateralization aids in detaching residual cortex while maintaining stability. Finally, verifying proper CTR placement ensures a stress-free zonule structure and optimal surgical outcome.
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