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The Fladen Eye Center Mature White Cataract Extraction & Toric IOL with Vision Blue Assist
This patient is s/p Retinal Detachment Repair x 2 with Silicone Oil Use on second case and ultimate removal. Developed Dense White Cataract which is clearly visible in this unedited video.
Dr. Todd Fladen of The Fladen Eye Center demonstrates his method of removal, assisted with Vision Blue. As the patient had 4.5 diopters of Astigmatism, a Toric Astigmatic IOL Alcon SN6AT5 was inserted to reduce the astigmatism by 50%. Larger diopter Toric IOL, ie T9 is not available in USA; would have completely eliminated Astigmatism.
The cataract was fortunately very soft and only Irrigation and Aspiration was required with phacoemulsification. A dense white posterior capsular plaque remained at end of procedure which could not be aspirated. This will be lasered with a YAG laser at 90 days postop to reduce likelihood of post laser retina edema and recurrent Retina Detachment.
Patient was CF preop and reported 20/200 vision on Day 1. Vision anticipated to improve to 20/100 or better after YAG laser.
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