吃燒餅沒有不掉芝麻的，如果一個後囊破裂而人工晶體尚未值入的病人，今要放入人工晶體，Single piece VS 3 piece您該如何選擇，如圖所示。有人說Single piece可植入sulcus，您以為呢
Would you tell me what's the advantage and disadvantage? With CCC capture or without CCC capture? Is there any difference?
Would you tell me what's the advantage and disadvantage? With CCC capture or without CCC capture? Is there any difference?
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COMMENT: Please Look as below http://blog.roodo.com/eyedr I think 一旦有PC Tear ,Single Acrysof(60AT)可能在 sulcus 會不stable.
COMMENT: 這是single piece 的先天缺陷 跟OPTIC大小無關 軟腳的終究不穩 DR. Chen的經驗就是最好的寫照 即使PC intact 還是很危險的 壓力不穩定的都可能出現移位的情形 --3 pieces 比較保險
COMMENT: acrysof 6.5 mm have long haptic (more stable)and can reduced after cataract rate(compared with 60AT), So acrysof 60AT finally will be disused.
COMMENT: Acrysof single piece IOL sulcus implantation 除了二位所提的移位之外還有其它大問題 Dr chen's case is a high myopic and post RD surgery case (vitrectomy?)which has a big eye ball with deep anterior and posterior chamber. That's the reason way you can see a prominant decentrated IOL. 一般Acrysof single piece IOL sulcus implantation 由於Haptic 太厚 optic 太利 可能看到pupil ovoiding,iris depigmentation and trasparancy 如果是安排好要放Restore IOL 而且小姐也已Loaded into the insertor or put on the operating table What will you do? How to handle this case?
COMMENT: 我上次依個例子適用CCCC的開口做capsular capture 就是OPTIC還在BAG裡面 HAPTIC浮(????)在前囊跟IRIS中間 如果有摩擦到IRIS也沒辦法了... 至少比較不會有DECENTRATION的問題 ----請注意...我都是100% LIVE SURGERY 家屬眼睛大大的在外面看你怎麼收....還要收的夠快 他們都會看到我怎麼做的...還好第2天視力還是1.0 (那一次還有ALCON的老外在看..) 等過一會有空在放到我的BLOG 先忙完這幾場SPEECH再說
COMMENT: 祝兩位大師 明日演講成功! -----