The standard way to place an IOL for iris fixation with suture is to use an old fashioned IOL forceps in the moustache configuration. Then when you release the IOL the haptic are placed posterior and the optic anterior to an undiluted or partially dilated pupil. See Walter starks jars paper with nice drawings on this topic. Thx for your comment
Hi. My question is in an aphakic patient who is undergoing secondary IOL placement, how do you initially insert the IOL to capture the optic and place the haptics in the sulcus without placing the entire lens in the sulcus first and then pulling up the optic? I fear placing the lens in the sulcus primarily would risk a posterior dislocation in a long standing aphakic patient who lacks proper support to hold a 3 piece IOL in the sulcus temporarily before pulling the optic up to the AC. Thanks.
The standard way to place an IOL for iris fixation with suture is to use an old fashioned IOL forceps in the moustache configuration. Then when you release the IOL the haptic are placed posterior and the optic anterior to an undiluted or partially dilated pupil. See Walter starks jars paper with nice drawings on this topic. Thx for your comment
oettingt 9 months ago
Hi. My question is in an aphakic patient who is undergoing secondary IOL placement, how do you initially insert the IOL to capture the optic and place the haptics in the sulcus without placing the entire lens in the sulcus first and then pulling up the optic? I fear placing the lens in the sulcus primarily would risk a posterior dislocation in a long standing aphakic patient who lacks proper support to hold a 3 piece IOL in the sulcus temporarily before pulling the optic up to the AC. Thanks.
ahdootm 9 months ago