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Intraocular Exchange Technique

  Channels: Cataract Surgery | Posted 11/30/2011

Vikas Shankar, MD, Muhammad Amer Awan, MD, and William Wykes, MD, describe a technique to explant a posterior chamber intraocular lens (IOL) without the need to enlarge the incision or cut the haptic and optic. The technique involves injecting Healon under the IOL to inflate the bag and prolapse IOL into anterior chamber (AC). Sinskey hook supports the IOL from behind and a lens insertion forceps is used to fold the lens in the AC, keeping parallel to the sinskey hook. Both the instruments utilise the same incision and the folded IOL is explanted without need to enlarge the incision. It is a safe and effective technique which can be used to exchange IOL in the situations like damaged IOL and refractive surprises.

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