Intraocular lens exchange- removing the optic intact
Current practice for intraocular lens (IOL) exchange is to cut the optic of the posterior chamber intraocular lens (PCIOL) prior to removing it. Great care must be taken during this maneuver to avoid a posterior capsular tear. Removing the haptics from the fibrosed capsule can also be hazardous, as...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Press of International Journal of Ophthalmology (IJO PRESS)
2016-06-01
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| Series: | International Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.cn/en_publish/2016/6/20160623.pdf |
| _version_ | 1818202191302754304 |
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| author | Matthew Hao Lee Diane Lesley Webster |
| author_facet | Matthew Hao Lee Diane Lesley Webster |
| author_sort | Matthew Hao Lee |
| collection | DOAJ |
| description | Current practice for intraocular lens (IOL) exchange is to cut the optic of the posterior chamber intraocular lens (PCIOL) prior to removing it. Great care must be taken during this maneuver to avoid a posterior capsular tear. Removing the haptics from the fibrosed capsule can also be hazardous, as it may result in zonular stress and dehiscence. A technique is described for performing foldable (one-piece acrylic) IOL removal without cutting the optic. Careful visco-dissection of the haptics with a low viscosity ophthalmic viscosurgical device (OVD) in the fibrosed peripheral capsular tunnel avoids zonular or capsular stress. Internal wound enlargement permits foldable IOL removal in one piece, whilst preserving a self-sealing sutureless corneal wound. This technique may enhance the safety and efficacy of foldable IOL exchange. |
| first_indexed | 2024-12-12T03:05:31Z |
| format | Article |
| id | doaj.art-f4067d58b9e5409e8af889b5cf2c18ae |
| institution | Directory Open Access Journal |
| issn | 2222-3959 2227-4898 |
| language | English |
| last_indexed | 2024-12-12T03:05:31Z |
| publishDate | 2016-06-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj.art-f4067d58b9e5409e8af889b5cf2c18ae2022-12-22T00:40:32ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982016-06-019692592810.18240/ijo.2016.06.23Intraocular lens exchange- removing the optic intactMatthew Hao Lee0Diane Lesley Webster1Department of Ophthalmology, Alfred Hospital, Melbourne, VIC 3004, AustraliaRoyal Victorian Eye and Ear Hospital, East Melbourne, VIC 3002, AustraliaCurrent practice for intraocular lens (IOL) exchange is to cut the optic of the posterior chamber intraocular lens (PCIOL) prior to removing it. Great care must be taken during this maneuver to avoid a posterior capsular tear. Removing the haptics from the fibrosed capsule can also be hazardous, as it may result in zonular stress and dehiscence. A technique is described for performing foldable (one-piece acrylic) IOL removal without cutting the optic. Careful visco-dissection of the haptics with a low viscosity ophthalmic viscosurgical device (OVD) in the fibrosed peripheral capsular tunnel avoids zonular or capsular stress. Internal wound enlargement permits foldable IOL removal in one piece, whilst preserving a self-sealing sutureless corneal wound. This technique may enhance the safety and efficacy of foldable IOL exchange.http://www.ijo.cn/en_publish/2016/6/20160623.pdfintraocular lens exchangeviscodissectionposterior capsular tearposterior capsular tear |
| spellingShingle | Matthew Hao Lee Diane Lesley Webster Intraocular lens exchange- removing the optic intact International Journal of Ophthalmology intraocular lens exchange viscodissection posterior capsular tear posterior capsular tear |
| title | Intraocular lens exchange- removing the optic intact |
| title_full | Intraocular lens exchange- removing the optic intact |
| title_fullStr | Intraocular lens exchange- removing the optic intact |
| title_full_unstemmed | Intraocular lens exchange- removing the optic intact |
| title_short | Intraocular lens exchange- removing the optic intact |
| title_sort | intraocular lens exchange removing the optic intact |
| topic | intraocular lens exchange viscodissection posterior capsular tear posterior capsular tear |
| url | http://www.ijo.cn/en_publish/2016/6/20160623.pdf |
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