Injection of an intraocular lens in an eye without capsular support.
We describe a technique that can be used to facilitate posterior chamber intraocular lens (IOL) placement with iris fixation in cases with compromised capsular support. This procedure allows injection of an IOL through an unenlarged clear corneal incision. A safety net suture is temporarily fixed in the posterior chamber to act as a surrogate capsule. This suture supports the IOL while the surgeon injects it and secures it to the iris. The addition of this single step facilitates the remainder of the procedure and potentially makes it safer.
Benevento
Joseph D
JD
New York Eye and Ear Infirmary, New York, New York, USA. joeben41@hotmail.com
Ponce
Estuardo Alfonso
EA
Dayan
Alan R
AR
D000368:Aged; D001036:Aphakia, Postcataract / Q000601:surgery*; D006801:Humans; D007498:Iris / Q000601:surgery*; D007903:Lens Capsule, Crystalline / Q000473:pathology; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D018918:Phacoemulsification; D013536:Suture Techniques; D014792:Visual Acuity; D014821:Vitrectomy