Jonathan L. Prenner, MD, presents subluxed in-the-bag intraocular lens that cannot be rescued with suture fixation due to poor capsular support and shares a technique that is especially helpful for posterior segment surgeons. After the lens is freed from vitreous, it is brought up to the anterior chamber with a silicone tipped cannula, cut in pieces, and removed. A three-piece IOL is inserted and the haptics are externalized with the help of a 30 gauge needle. Because the posterior capsule is already compromised, the lens can be shifted posteriorly where it's easier to engage the second haptic. The tips of the haptics are thermally deformed to keep the lens in position.
Dislocated IOL, subluxed IOL • EC-3 Intraocular Lens • Haptics • Ocular trauma • Scleral-fixated IOL • Soemmering ring