Posterior Capsule Polishing and IOL Explantation With Protective IOL in the Bag

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After irrigation and aspiration, a sheet of cortical matter remains adherent to the posterior capsule with no peripheral extension. Mokhtar Abushanab, MD; Jluwi Almasaud, MD; and Mostafa Elazab, MD, demonstrate capsular polishing. The free portion is aspirated by holding the aspiration port in a fixed position with vacuum only. For the adherent portion, the team used a rubbing technique—applying no vacuum at all—and gently rubbed until a free edge was created.

Next, the team decided to explant the IOL. OVD is injected, and a Sinskey hook is used to deliver the IOL into the anterior chamber. The IOL is then pushed toward the 6 o’clock position. To protect the posterior capsule during further maneuvers, a new IOL is implanted into the bag. A straight forceps is used to grasp the explanted IOL at the optic-haptic junction.

Posted: 7/14/2025

Posterior Capsule Polishing and IOL Explantation With Protective IOL in the Bag

After irrigation and aspiration, a sheet of cortical matter remains adherent to the posterior capsule with no peripheral extension. Mokhtar Abushanab, MD; Jluwi Almasaud, MD; and Mostafa Elazab, MD, demonstrate capsular polishing. The free portion is aspirated by holding the aspiration port in a fixed position with vacuum only. For the adherent portion, the team used a rubbing technique—applying no vacuum at all—and gently rubbed until a free edge was created.

Next, the team decided to explant the IOL. OVD is injected, and a Sinskey hook is used to deliver the IOL into the anterior chamber. The IOL is then pushed toward the 6 o’clock position. To protect the posterior capsule during further maneuvers, a new IOL is implanted into the bag. A straight forceps is used to grasp the explanted IOL at the optic-haptic junction.

Posted: 7/14/2025

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