Twist and out intraocular lens removal
Rahul T Pandit1, Uday Devgan, Jack M Chapman
1From the Blanton Eye Institute, Houston Methodist Hospital (Pandit), Houston, Texas, Devgan Eye Surgery (Devgan), Los Angeles, Jules Stein Eye Institute, UCLA School of Medicine (Devgan), Los Angeles, Olive View-UCLA Medical Center (Devgan), Sylmar, California, and Gainesville Eye Associates (Chapman), Gainesville, Georgia, USA.
Abstract:
Foldable acrylic posterior chamber intraocular lenses (PC IOLs) can be removed via a variety of methods. In this technique, the PC IOL is freed from its position in the capsular bag or sulcus space and raised into the anterior chamber. The IOL is manipulated such that a haptic is externalized through a 2.2 mm corneal incision. A spatula is inserted through a paracentesis incision and placed above the PC IOL. Straight forceps are inserted through the main incision and the haptic/optic junction closest to the paracentesis is grasped with the hand completely supinated. The hand is then pronated while rolling the PC IOL around the forceps using the spatula to guide the PC IOL and guard the cornea. The forceps are then retracted through the main wound, enveloped by the PC IOL, thereby removing an acrylic PC IOL in its entirety using standard intraocular instruments through a 2.2 mm incision.
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