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Vertical Glued IOL for Lens Coloboma

  Channels: Cataract Surgery | Posted 9/16/2011

In this case of a lens coloboma, the surgeons plan a vertical glued IOL technique and make partial thickness scleral flaps at the 12 and 6 o'clock positions. A lensectomy and vitrectomy is performed with an automated vitrector. As a 3-piece foldable IOL is injected, microforceps are used to grasp and externalize the leading haptic through the sclerotomy. After utilizing the Handshake technique to externalize the trailing haptic, both haptics are tucked into the previously made scleral tunnels. Then, scleral flaps and conjunctiva are sealed with fibrin glue.

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