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Related Experiment Video

Updated: Feb 3, 2026

Author Spotlight: Enhancing Visual Outcomes in Cataract Surgery: A Novel Technique to Prevent Posterior Capsular Opacification Through IOL Rotation

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Phacoemulsification in phakic iris-claw lens with cataract.

Sudarshan Khokhar¹, Manish Mahabir¹

¹Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.

Indian Journal of Ophthalmology

|October 26, 2018

Summary

This new cataract surgery technique safely removes phakic intraocular lenses (IOLs) during the procedure. It offers improved surgical ease, chamber stability, and endothelial protection compared to older methods.

Keywords:

Artisan iris-claw phacoemulsification phakic

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Area of Science:

Ophthalmology
Surgical Techniques
Intraocular Lenses

Background:

Cataract surgery in patients with iris-fixated phakic intraocular lenses (IOLs) presents unique challenges.
Previous techniques may involve complications such as endothelial damage or iris trauma.

Purpose of the Study:

To describe a novel technique for cataract surgery in patients with iris-fixated phakic IOLs.
To evaluate the safety and efficacy of explanting the phakic IOL at the conclusion of cataract surgery.

Main Methods:

Phacoemulsification is performed through a 2.2 mm incision with the phakic IOL securely enclaved to the iris.
Viscodispersive ophthalmic viscosurgical device (OVD) is used for endothelial protection.
High molecular weight viscocohesive OVD is employed to create surgical space beneath the phakic IOL.

Main Results:

The phakic IOL remained stable and enclaved during phacoemulsification.
The technique demonstrated excellent chamber stability and endothelial protection.
Reduced iris trauma and enhanced surgical ease were observed compared to prior methods.

Conclusions:

This technique offers a safe and effective approach for cataract surgery in patients with iris-fixated phakic IOLs.
The described method provides significant advantages in terms of surgical outcomes and patient safety.