A simple technique of intraocular lenses explantation for single-piece foldable lenses
Foldable intraocular lenses (IOLs) are most commonly used in modern-day cataract surgery. Explantation of these IOLs is not frequently encountered, but sometimes extreme situations may demand the same. Commonly explantation is achieved by bisecting the IOL inside the anterior chamber with a cutter a...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2017-01-01
|
| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2017;volume=65;issue=12;spage=1428;epage=1430;aulast=Bhaumik |
| _version_ | 1811301484411748352 |
|---|---|
| author | Arup Bhaumik Santanu Mitra |
| author_facet | Arup Bhaumik Santanu Mitra |
| author_sort | Arup Bhaumik |
| collection | DOAJ |
| description | Foldable intraocular lenses (IOLs) are most commonly used in modern-day cataract surgery. Explantation of these IOLs is not frequently encountered, but sometimes extreme situations may demand the same. Commonly explantation is achieved by bisecting the IOL inside the anterior chamber with a cutter and delivering the pieces out one by one. This may require corneal wound extension with associated damage and endothelial loss leading to visual deterioration. We devised a simple, innovative IOL explantation technique utilizing a modified Alcon A cartridge and snare. This can successfully refold the IOL to be explanted inside the eye and deliver it out through the same wound. The device has limitations with very thick optic lenses, multipiece, and silicon IOLs. In conclusion, we describe a simple, innovative, and reproducible technique to explant almost any single piece IOL without compromising the original surgery and yielding very satisfactory outcomes. |
| first_indexed | 2024-04-13T07:09:40Z |
| format | Article |
| id | doaj.art-034ac5c6b31e42b4b1dcf825b547d42f |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-04-13T07:09:40Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-034ac5c6b31e42b4b1dcf825b547d42f2022-12-22T02:56:53ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892017-01-0165121428143010.4103/ijo.IJO_664_17A simple technique of intraocular lenses explantation for single-piece foldable lensesArup BhaumikSantanu MitraFoldable intraocular lenses (IOLs) are most commonly used in modern-day cataract surgery. Explantation of these IOLs is not frequently encountered, but sometimes extreme situations may demand the same. Commonly explantation is achieved by bisecting the IOL inside the anterior chamber with a cutter and delivering the pieces out one by one. This may require corneal wound extension with associated damage and endothelial loss leading to visual deterioration. We devised a simple, innovative IOL explantation technique utilizing a modified Alcon A cartridge and snare. This can successfully refold the IOL to be explanted inside the eye and deliver it out through the same wound. The device has limitations with very thick optic lenses, multipiece, and silicon IOLs. In conclusion, we describe a simple, innovative, and reproducible technique to explant almost any single piece IOL without compromising the original surgery and yielding very satisfactory outcomes.http://www.ijo.in/article.asp?issn=0301-4738;year=2017;volume=65;issue=12;spage=1428;epage=1430;aulast=BhaumikIntraocular lens explantationIOL explantarsnare technique |
| spellingShingle | Arup Bhaumik Santanu Mitra A simple technique of intraocular lenses explantation for single-piece foldable lenses Indian Journal of Ophthalmology Intraocular lens explantation IOL explantar snare technique |
| title | A simple technique of intraocular lenses explantation for single-piece foldable lenses |
| title_full | A simple technique of intraocular lenses explantation for single-piece foldable lenses |
| title_fullStr | A simple technique of intraocular lenses explantation for single-piece foldable lenses |
| title_full_unstemmed | A simple technique of intraocular lenses explantation for single-piece foldable lenses |
| title_short | A simple technique of intraocular lenses explantation for single-piece foldable lenses |
| title_sort | simple technique of intraocular lenses explantation for single piece foldable lenses |
| topic | Intraocular lens explantation IOL explantar snare technique |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2017;volume=65;issue=12;spage=1428;epage=1430;aulast=Bhaumik |
| work_keys_str_mv | AT arupbhaumik asimpletechniqueofintraocularlensesexplantationforsinglepiecefoldablelenses AT santanumitra asimpletechniqueofintraocularlensesexplantationforsinglepiecefoldablelenses AT arupbhaumik simpletechniqueofintraocularlensesexplantationforsinglepiecefoldablelenses AT santanumitra simpletechniqueofintraocularlensesexplantationforsinglepiecefoldablelenses |