Iris-Sutured IOL with 25G Instrumentation
Dr. Berrocal uses 25G instrumentation to correct this case of a traumatically dislocated IOL. The haptics are sutured to the iris to stabilize the lens, after which the periphery is checked to confirm the absence of vitreous breaks.
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Comments (9)
this is a pmma iol, the technique works well also on 3 piece acrylics,i have used it on a partially dislocated one piece acrylic to suture one haptic.
What kind of IOL is there in the eye? Is this procedure suitable for a one-piece acrylic IOL?
great video
For Dr. Devdatta-I dont have diagrams, but the technique is as follows:
The cats eye pupil occurs if one grabs a long area of iris with the needle or also if one is suturing the edge of the iris to a haptic more near the periphery. Sometime it is inevitable and not a real problem particularly in pigmented irises.
Your iris sutured IOL is excellent. You mentioned the importance of not leaving a 'cats eye' pupil. This has occurred in a couple of cases I have done. What are your tips on avoiding this and do you think lens optic size is a factor.
Respected Madam Maria H. Berrocal.
Respected Madam Maria H. Berrocal.