High-vacuum clothesline technique for elevation and repositioning of posteriorly dislocated intraocular lens
Richard J Mackool1, Richard J Mackool1, Brian M Solinsky1
1From Mackool Eye Institute (R.J. Mackool Sr, R.J. Mackool Jr), Astoria, New York, and the University of Connecticut Medical Center (Solinsky), Farmington, Connecticut, USA.
Abstract:
We describe a technique to simplify the retrieval process of an intraocular lens (IOL) that has fallen into the posterior segment of the eye. A high-vacuum level setting is used to achieve fixation of the IOL to the vitrectomy tip, permitting the IOL to be elevated into the anterior segment. The clothesline technique is then used to secure the IOL partially within the anterior chamber for subsequent suture fixation or explantation. This technique simplifies the elevation, repositioning, and/or explantation of a posteriorly dislocated IOL and eliminates the need to perform more complex and potentially traumatic maneuvers.
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