CASES AND PATHOLOGIESVITREOUS LOSS SCENARIO (ANTERIOR VITRECTOMY): There are two ways to simulate an Anterior Vitrectomy scenario: One, right after performing a phacosimulation with our cataract lens, and the second option, skipping the phaco and starting the anterior vitrectomy scenario with an empty bag lens.
- CATARACT LENS: Insert an OKULO BR8 anterior segment with cataract lens as described above; perform the cataract simulation normally until you have an empty capsular bag. If posterior capsule is still intact (good job!),create a PCR with the energized phaco hand-piece or with your second instrument. Make sure the rupture is large (3-4mm) so that vitreous can easily flow anteriorly. Slowly inject vitreous substitute with the syringe connected to the port.
- EMPTY BAG: Create a PCR on the empty bag posterior capsule. Make sure the rupture is large (3-4mm) so that vitreous can easily flow anteriorly. Attach the empty bag to an OKULO BR8 anterior segment. Insert the pre-assembled segment and len sin the prepared AVH as described above; create the main incision and paracentesis in the cornea. Slowly inject vitreous substitute with the syringe connected to the port. After the Vitreous is in the anterior chamber, proceed to perform the Anterior Vitrectomy technique as guided by your faculty. To repeat the scenario, simply inject more vitreous with the syringeand start over.