Surgical techniques for repositioning a dislocated intraocular lens, repair of iridodialysis, and secondary intraocular lens implantation using innovative 25-gauge forceps.
OBJECTIVE
We developed surgical techniques for the sulcus fixation of a posteriorly dislocated or secondarily implanted posterior chamber intraocular lens, repair of an iridodialysis, and the management of a decentered intraocular lens during vitreous surgery using innovative 25-gauge forceps.


METHODS
The 25-gauge forceps have a curved shaft, a tip with a distal platform for grasping a suture, and a proximal groove for gripping a haptic. The forceps are inserted through a grooved scleral incision into the plane of the ciliary sulcus, facilitating manipulations such as fastening a suture loop around a haptic, repositing an intraocular lens at the ciliary sulcus, and grasping sutures during repair of a iridodialysis or implantation of a secondary intraocular lens. Seven patients underwent vitreous surgery using the new forceps.


RESULTS
In all seven patients the surgical objectives were accomplished with the 25-gauge forceps without postoperative complications such as hemorrhage, hypotony, or lens decentration.


CONCLUSIONS
The 25-gauge forceps are innovative instrumentation designed specifically for anterior segment applications during vitreous surgery.
Department of Ophthalmology, New York Hospital, Cornell University Medical College, New York.
S
S
Chang
G E
GE
Coll
D000293:Adolescent; D000368:Aged; D002387:Cataract Extraction; D015807:Eye Injuries, Penetrating / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007498:Iris / Q000293:injuries / Q000601:surgery*; D007499:Iris Diseases / Q000209:etiology / Q000601:surgery*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D009885:Ophthalmology / Q000295:instrumentation*; D011475:Prosthesis Failure; D012086:Reoperation; D014821:Vitrectomy