Repositioning a Luxated Lens
Drs. Amar Agarwal and Dhivya Ashok Kumar present a glued IOL technique which maintains a closed system and minimizes incision size, trauma, surgical time, and intraocular pressure fluctuation. Two partial-thickness scleral flaps (2.5 X 3 mm) are created approximately 1 mm from the limbus diagonally apart. While an assistant holds the tip of the externalized haptic, the surgeon is free to pull the other haptic through the second sclerotomy and tuck the tips of the haptics into scleral tunnels created at the point of externalization with a 26-gauge needle. The scleral flaps and peritomies are closed with fibrin glue.
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