Ciliary Sulcus Fixation of foldable IOL

ASCRS 2009 Award (New Producer Runner Up) wining Film posted by Dr. Y KONDO
Technique for recovery in cataract surgery. Through the un-enlarged wound, foldable IOL can be fixed in the ciliary sulcus.

Category:

People & Blogs

Tags:

• cataract
• fixation/ASCRS

[DRYKONDO]

To mattmkruger ;

As you know, the haptics with smooth figure to the end are difficult to be fixed with the cow-hitch knot. When I choose this type of IOL, I usually fix the thread with the "double" cow-hitch knot. This knot is tight enough to prevent slipping out during the manipulation.

Another solution is to compress the haptics with plier (I use the fine needle holder ) to make the mark on the surface of the haptics and also to prevent slipping out.

[DRYKONDO]

To Dreden77

Thank you for attention!

Any type of three piece IOL is preferred.

1) large optics 2) flexible haptic 3) three piece IOL

[dtvrf]

Excellent video, Dr Kondo!

May I ask what is the name and code of the instrument that you use for introduction of the sutures? Which suture is used (10/0 Prolene) and which needle?

Thanking you,,,

[mattmkruger]

At my institution we have the Alcon MA60AC as our foldable 3-piece lens. The Haptics are smooth to the end and there is no cap to prevent the cow-hitch knot from slipping off of the haptic during manipulation. Is this a problem that you've encountered or do you find the cow-hitch to be tight enough to stay where you placed it?

[Dreden77]

What is your preferred iol for this procedure?