Arbisser Nuclear Spears

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“If the problem is a broken capsule with a descending nucleus, I would stabilize the anterior chamber with an ophthalmic viscosurgical device (OVD) and then create another paracentesis 180o from the original one to deploy opposing forces with Arbisser Nuclear Spears (Epsilon USA Instruments). The spears skewer and raise the nucleus out of the bag above the iris plane. Replacing one spear with an OVD cannula to trap the nucleus forward, I would induce miosis by instilling Miochol-E (Bausch+Lomb) behind the nucleus. If vitreous is mixed with lenticular material, I employ extracapsular conversion to eliminate the nucleus”


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“If the problem is a broken capsule with a descending nucleus, I would stabilize the anterior chamber with an ophthalmic viscosurgical device (OVD) and then create another paracentesis 180o from the original one to deploy opposing forces with Arbisser Nuclear Spears (Epsilon USA Instruments). The spears skewer and raise the nucleus out of the bag above the iris plane. Replacing one spear with an OVD cannula to trap the nucleus forward, I would induce miosis by instilling Miochol-E (Bausch+Lomb) behind the nucleus. If vitreous is mixed with lenticular material, I employ extracapsular conversion to eliminate the nucleus”

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