Open AccessTwist and out intraocular lens removal
Author(s) -
Rahul T. Pandit,
Uday Devgan,
John S. Chapman
Publication year - 2020
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 - 10.1097/j.jcrs.0000000000000161
Subject(s) - forceps , phacoemulsification , intraocular lens , medicine , ophthalmology , cornea , paracentesis , surgery , visual acuity , ascites
Foldable acrylic posterior chamber intraocular lenses (PC IOLs) can be removed via a variety of methods. In this technique, the PC IOL is freed from its position in the capsular bag or sulcus space and raised into the anterior chamber. The IOL is manipulated such that a haptic is externalized through a 2.2 mm corneal incision. A spatula is inserted through a paracentesis incision and placed above the PC IOL. Straight forceps are inserted through the main incision and the haptic/optic junction closest to the paracentesis is grasped with the hand completely supinated. The hand is then pronated while rolling the PC IOL around the forceps using the spatula to guide the PC IOL and guard the cornea. The forceps are then retracted through the main wound, enveloped by the PC IOL, thereby removing an acrylic PC IOL in its entirety using standard intraocular instruments through a 2.2 mm incision.