There are a variety of ways to explant a dislocated intraocular lens. In the current episode, we demonstrate a technique of using the vitreous cutter and light pipe to mobilize the lens into the anterior chamber. The vitreous cutter is used to aspirate and elevate the IOL anteriorly. Then the light pipe is introduced under the optic of the IOL to lift and elevate the lens so that it is parallel to the iris plane, thereby facilitating mobilization of the lens into the anterior chamber. The anterior chamber should be filled with a dispersive viscoelastic, which can protect anterior segment structures (particularly the corneal endothelium) and has a consistency that adheres to the lens, preventing it from falling back to the posterior pole. In this case, we remove the lens through a scleral tunnel to further minimize trauma to the endothelium since this patient has low endothelial cell counts.
the video is unavailabel!
the private video?
Dear Dr. Ranaei,
Some of the videos have been moved to private viewing while I am in the process of revising them. I can share the old videos which will be available until the revised videos post. Both the dislocated IOL video and Akreos lens implantation videos have been shared with you. Please let me know if you have any issues accessing them.
Best,
Pradeep