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Jonathan L. Prenner, MD
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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.
Posted: 3/15/2017
Jonathan L. Prenner, MD
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.
Posted: 3/15/2017
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Just Now
Stefano Barile
7 years ago
Your 30G needle is very stiff. Can you give the exact reference of this 30G TSK needle?
Clint Kellogg
8 years ago
In your experience what adjustment in lens power is needed when using this scleral fixated technique?
Ramil Lising
8 years ago
Superb! Thank you for sharing.
Igor Bykov
8 years ago
Good modification!
hulya gungel
8 years ago
Great vision.Thanks for sharing.
Shahem Kawji
8 years ago
Great technique. Thanks for posting!
Eduardo Uchiyama
8 years ago
Great! Thanks for sharing
Jason Jones
8 years ago
NICELY done!
Mostafa Hanout
8 years ago
Nice!
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