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Basic Phaco Course

Coordinator:Ahmed Ghoneim,MD (Tanta)

Instructors: Amr Elsamra ,MD (RIO)

Khaled Fawzy,MD (Zagazig)

Hisham Adel,MD (Cairo)

Moomen Mostafa,MD (Ain Shams)

Noureldin Abdelhamid,MD (Azhar)

Phaco Course

1-Noureldin Abdelhamid,MD(Azhar)

Phaco with Narrow Pupil

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Basic Phaco Course

2-Khaled Fawzy,MD(Zagazig)

White Cataract

Phaco Course

3-Amr Elsamra ,MD (RIO)

Posterior polar Cataract

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Phaco Course

4-Hisham Adel,MD(Cairo)

Phaco with Hard Cataract

5-Ahmed Ghoneim,MD

(Tanta)

Posterior capsule Rupture

Basic Phaco Course

12/2/2018

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Challenging Phaco cases

6-Moomen Mostafa,MD

(Ain Shams)

Phaco with Subluxatedlenses

MANAGMENT OF RUPTURE POSTERIOR CAPSULE

DURING PHACO

AHMED GHONEIM,MDProf. of Ophthalmology

Faculty of Medicine-Tanta UniversityFellow of Mainz University - Germany

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Don’t Forget

Rupture Posterior Capsule(Vitreous loss)

Can Occur at Any Stage During Phaco

Ahmed Ghoneim, MD

I NEVER FORGET

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Case No.(1):

Rupture with no Vit.

Post. Capsule strech with no Vit. loss

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Rupture post. Capsule with no Vit. loss

First Case

Case No.(2):

Rupture with I ∕Α.

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Rupture post. Capsule during I∕A I

Case No.2

Rupture post. Capsule during I∕A II

Case No.2

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Rupture post. Capsule during I∕A III

Case No.2

Case No.(3):

Rupture with I ∕Α.

Hard white catract

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Rupture post. Capsule during I∕A I

Case No.3

Rupture post. Capsule during I∕A II

Case No.3

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Rupture post. Capsule during I∕A III

Case No.3

Case (4):

What u think about interlocking Force.

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Case No.(5):

Rupture with phaco.

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Rupture post. Capsule with phaco I

Case No.5 A

Case No.5 A

Rupture post. Capsule with phaco IIslow

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Rupture post. Capsule with phaco III

Case No.5 A

Rupture post. Capsule with phaco III

Case No.5 B

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Case No.(6):

Membranous sheet.

Membranous ???

Case No.6

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Case No.(7):

Vit after implantation.

Vit. after implantation I

Case No.7

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Case No.7

Vit. after implantation II

Case No.7

Vit. after implantation I

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How much?? Stretching the

zonule

Ahmed Ghoneim, MD

Max. zonular

strech 3.82 mm

1.6 mm

How much??

Stretching the zonule

Ahmed Ghoneim, MD

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How much ?? Streching the

capsule

62%

6 mm = 9.72

5.5 mm = 8.91

5 mm = 8.1

Ahmed Ghoneim, MD

OK…What u think about the zonule ??

Ahmed ghoneim, 2018

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Case No.(8):

You finish when you finish.

Case No.8

Concentrate till the end

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Case No.8

You Finish when you finish

.

Don Not Take Early Decisions

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Don Not Take Early Decisions

Case No. 9 :

TAC in the BAG.

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TAC in the BAG

Ahmed Ghoneim, MD

Case No 10 :

Scaffold technique.Implant then phaco

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Case No 11 :

Scaffold technique.Implant then phaco

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Ahmed Ghoneim, MD

AHMED GHONEIM

Case: No. 12 What to do, still need to understand more..

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Take the Decision..

Pupil snap sign

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Case No.(13):

Now see it again.

Case No.9

Pupil snap… ??

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Slow motion ?? Pupil snap sign

Ahmed Ghoneim,ERC 2015

Ahmed Ghoneim, 2015

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Case (14):

What u think to do in such situation.

Complications , how to deal ??

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Complications , how to deal ??

Case No.(15):

I hope no one face it again ..

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You can have big chance but you still want to lose it.2.26 2.36 3.10 & 3.09

Ahmed Ghoneim,MD

Case No.(16):

We said before Believe it if you see it.

Now see it..

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SEE IT ?? When u never expect.

Always look .. Not to forget ??

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