Open AccessIn-the-bag injection and overfold technique for custom flexible prosthetic iris prostheses
Author(s) -
Henryque L Amaral,
Michael E. Snyder
Publication year - 2022
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.0000000000000928
Subject(s) - iris (biosensor) , capsulorhexis , cartridge , biomedical engineering , computer science , barrel (horology) , phacoemulsification , implant , materials science , computer vision , ophthalmology , surgery , medicine , visual acuity , biometrics , metallurgy , composite material
In-the-bag placement is the ideal location for an anterior segment implant, including the custom flexible artificial iris prosthesis (CUSTOMFLEX ARTIFICIALIRIS). Yet, an injection of a bag-filling iris device through a reasonably sized capsulorhexis creates a geometric challenge. First, the device must be placed into an injection cartridge. Folding into a conoid, trifold orientation improves the facility with which the device is loaded into the injector barrel. To facilitate placement into the capsular bag, the device that is approximately 10+ mm is injected into the nasal bag, and the temporal portion is overfolded on itself to reduce its outer diameter.