Open AccessHaptic tuck for reverse optic capture of a single-piece acrylic toric or other single-piece acrylic intraocular lenses
Author(s) -
Howard V. Gimbel,
Hala Marzouk
Publication year - 2019
Publication title -
journal of cataract and refractive surgery/journal of cataract and refractive surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.678
H-Index - 142
eISSN - 1873-4502
pISSN - 0886-3350
DOI - 10.1016/j.jcrs.2018.09.026
Subject(s) - capsulorhexis , intraocular lens , capsule , haptic technology , intraocular lenses , fixation (population genetics) , sulcus , centration , acrylic resin , computer science , phacoemulsification , materials science , medicine , ophthalmology , surgery , artificial intelligence , visual acuity , geology , coating , paleontology , population , environmental health , composite material
We describe a new technique for capsule fixation of 1-piece acrylic toric intraocular lens (IOL) or other 1-piece acrylic IOLs in the presence of a large posterior capsule tear resulting in an open capsule. To keep the thick haptics out of the sulcus, reverse optic capture is necessary, with the haptics below the capsule and the optic edges above the capsule. This is done by placing the IOL in the sulcus and if it is a toric IOL, with the toric marks on the optic aligned with the corneal marks. Then, each haptic is separately tucked through the anterior continuous curvilinear capsulorhexis (CCC) opening, leaving the optic edges above the capsule. This technique achieves reverse optic capsulorhexis capture without the challenge of injecting the IOL through the CCC with an open posterior capsule. We propose the term haptic tuck for reverse optic capture for this technique.