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Modified Trisection Technique: One-Trip Explantation for Foldable Intraocular Lens
Hongfei Ye1, Shiguang Zhang2, Liang Cao3
1Department of Ophthalmology, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Retina (Philadelphia, Pa.)
|February 17, 2022
Summary
A novel technique enables intraocular lens (IOL) explantation via small incisions used in cataract surgery. This method simplifies IOL removal, potentially reducing complications and improving patient recovery.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Modern cataract surgery utilizes small incisions.
- Intraocular lens (IOL) removal can be challenging through small surgical openings.
Purpose of the Study:
- To present a new technique for explanting an intraocular lens (IOL) through the small incisions characteristic of contemporary cataract surgery.
Main Methods:
- The IOL optic is segmented into three connected pieces using scissors at the 1-mm incision site.
- A counterforce is applied with vitreoretinal forceps through a paracentesis.
- The central piece is removed, followed by the side pieces, which overlap during passage through the incision.
Main Results:
- The described technique allows for the explantation of the entire intraocular lens as an intact piece.
- The method facilitates IOL removal through very small incisions.
Conclusions:
- This technique offers a simple and effective approach for intraocular lens explantation.
- The method may lead to reduced surgical complications and accelerated patient recovery.
