The Mackool Cataract Support System (CSS) has been developed in cases where extreme zonular weakness is discovered when phaco has begun after the capsulorhexis.
The phaco tip is removed from the eye and the chamber is filled with viscoelastic. Individual retractors (ref: 6-140) are inserted to capture margins of capsulorhexis. Gradual tightening of each retractor provides excellent fixation of capsular sac and fornices. Phaco and cortex removal are completed in standard fashion (this is in contrast to situations when an endocapsular ring has been inserted and cortex removal is extremely difficult due to entrapment of cortex by the ring). After cortex removal, an endocapsular ring is inserted and the Mackool Cataract Support System / Retractors are removed through phaco incision.
First Mackool Cataract Support System / retractor is introduced
Three Mackool Cataract Support System / retractors in postion
The following video has been kindly been made available and narrated by Dr Mackool, MDWARNING: Videos may contain actual surgery footage;
this can be graphic and unsuitable for some people.
Phaco and cortex removal completed as normal.
Procedure using five Mackool Cataract
Support System / retractors
Finally Mackool Cataract Support System / retractors are removed.
Mackool Cataract Support System Set(click on the product codes for more information)
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