Pediatric Cases - Anterior Segment Rs 500
Challenging Situations in Paediatric Cataract Surgery
Considerations in Pediatric Cataract Surgery
Giant Epibulbar Dermoid in Newborns: How Far Can We Go?
HSV Keratitis in Children: An Introduction to Different Clinical Presentations
Paediatric Cataract Surgery: Advantages of in-the-bag IOL Implantation and Peripheral Iridectomy
Pediatric Penetrating Keratoplasty
Sutureless Cataract Surgery in a Child with Developmental Cataract
Bimanual Technique of Cataract Extraction with PC-IOL Implantation in a Child with Sturge-Weber Syndrome
Author: Dr Mandal Anil Kumar
TRT: 08:16 min
Year of Publication: April 2005
This video demonstrates the surgical technique of cataract extraction with PC IOL implantation in a 10-year-old child with Sturge-Weber Syndrome. The patient underwent primary combined trabeculotomy-trabeculectomy for congenital glaucoma at the age of 2 months. After 10 years patient developed cataract for which bimanual irrigation and aspiration technique was used to remove the cataract and PC IOL implantation was performed through superior clear corneal incision. The patient regained visual acuity of 20/80 and his IOP was controlled with Timolol maleate 0.5% BD. Bimanual technique improved maneuverability of the aspiration cannula and provided a margin of safety without any danger of choroidal effusion.
Challenging Situations in Paediatric Cataract Surgery
Author: Dr Aasuri Murali Krishnamachary
Year of Publication: 2004
TRT: 27:17 min
Cataract surgery is relatively more challenging to perform in children than in adults because of the small size and fragility of ocular structures, low scleral rigidity and increased tendency for inflammation in children. Thanks to the advances in ocular microsurgery, however, it is possible today to achieve gratifying results even in this age group, with minimal ocular complications. Pediatric cataract surgeons are often faced with unique cases that test the limits of microsurgery. This calls for a proper understanding of microsurgery, familiarity with the structures of the pediatric eye, availability of special surgical tools and a well-thought out surgical plan. In this video, we present three situations to help you grasp the nuances of pediatric cataract surgery demonstrating how the use of special tools and proper surgical planning ensure successful outcome in difficult situations.
Considerations in Pediatric Cataract Surgery
Author: Dr.Sushma Tejwani
Duration: 09:56 min
Year of Publication: 2006
Surgery on children requires maneuvers of a different register. The evaluation of a child with cataract is based on the age and responsiveness of the child. The surgical technique too is specific to the age of the child. We demonstrate here the steps of incision, capsulorrhexis, lens aspiration, posterior capsulorrhexis and anterior vitrectomy, intraocular lens insertion and wound closure. The unique situations of congenital cataract, traumatic cataract, subluxated lens and secondary intraocular lens implantation are also demonstrated.
Giant Epibulbar Dermoid in Newborns: How Far Can We Go?
Author: Dr. Nibaran Gangopadhyay
Year of Publication: May 2004
TRT: 09:16 minutes
Two infants presented to us, each with an epibulbar dermoid, obscuring the whole cornea, with its extent up to the lateral canthus in one of them. Dermoid excision with penetrating keratoplasty was done in both, with lateral canthoplasty as an additional procedure in the latter. Cosmetic and visual prognosis for large dermoids restricted to cornea, when managed meticulously, was satisfactory. Dermoids involving the fornices and lids, however, resulted in poor outcome.
Award: First Prize - Special Interest
Film Festival of the American Society of Cataract and Refractive Surgery ASCRS 2005 Annual Symposium and Congress, April 15-20, 2005
HSV Keratitis in Children: An Introduction to Different Clinical Presentations
Author: Dr.Nibaran Gangopadhyay Year of Publication: May 2004 TRT: 09:55 minutes
A series of patients in the paediatric age group presented to us with either primary or recurrent Herpes Simplex Viral (HSV) Keratitis, confirmed by laboratory diagnosis. A high index of suspicion helped one to diagnose these cases clinically in the first instance. Six cases of neonatal keratoconjunctivitis were attributed to Herpes Simplex Virus. Faster healing was achieved with systemic as well as topical acyclovir therapy as indicated. This video demonstrates the detailed slit lamp findings of HSV keratitis. A lack of understanding among ophthalmologists, exacerbated by poor laboratory facilities, leads to its under-diagnosis.
Award: Educational Category - 2nd Place: Dr Nibaran Gangopadhyay, India - XXII ESCRS CONGRESS September 2004
Paediatric Cataract Surgery: Advantages of in-the-bag IOL Implantation and Peripheral Iridectomy
Author: Dr Mandal Anil Kumar
Year of Publication: 2004
Duration: 09:57 min
This video highlights pediatric cataract surgeries done in a six-year-old boy who had bilateral zonular cataracts. The surgeries were uneventful. After surgery in the second eye, the patient developed uveitis, clinically diagnosed as phacoanaphylactic uveitis. The uveitis resolved without any sequel. There was no raised intraocular pressure and no pupillary block glaucoma due to patent iridectomy and in-the-bag intraocular lens placement. This video emphasizes the practice of continuous capsulorrhexis, in-the-bag intraocular lens placement and peripheral iridectomy in all pediatric cataract surgeries.
Pediatric Penetrating Keratoplasty
Author: Dr Merle Fernandes
Duration: 07:59 min
Year of Publication: May 2006
Penetrating keratoplasty in a child is daunting for the surgeon, since it is technically difficult compared to an adult corneal transplant and the post operative management is fraught with complications, for the parents who have to be extremely motivated, compliant and vigilant and for the child who is subject to frequent examinations under anesthesia with the risk of amblyopia looming large. In this video we have described the indications for pediatric keratoplasty and have highlighted the differences between adult and pediatric grafts, emphasizing the preoperative evaluation, surgical technique and post operative follow up.
Sutureless Cataract Surgery in a Child with Developmental Cataract
Author: Dr Anil K Mandal, Dr Suram Vasantha
Duration: 06:30 min
Year of Publication: April, 2005
This video demonstrates the sutureless cataract surgery with in-the-bag IOL implantation in a 12-year old child with developmental cataract. After preparation of the scleral tunnel incision and AC entry high viscosity visco-elastic material was injected in AC and capsulorhexis was performed with 26-G bent needle and capsulorhexis forceps. Soft nucleus and cortical material was removed by automated irrigation-aspiration system. The wound was extended to the desired length and a 12mm overall diameter lens was implanted in the capsular bag. The wound was self-sealing and the conjunctiva was closed by using two sutures of 8-0 polygalactin. First day postoperative, the patient gained visual acuity of 20/40 with well-centered lens in the bag and minimal AC reaction.