Using Forceps Is Helpful for ICL Extraction

Drs. Ferchichi Molka and Monia Cheour present a case of a 29-year-old patient with high myopia who underwent refractive surgery with an implantable collamer lens (ICL) implantation in the right eye. He complained of visual loss related to displacement and rotation of his ICL. Anterior segment OCT showed low vaulting (<100 µm). Drs. Molka and Cheour decided to remove the ICL, and started by performing temporal and nasal paracentesis incisions and then injections of viscoelastic below and above the ICL. An OVD cannula was used to carefully prolapse the ICL footplates into the anterior chamber and an ICL cartridge–uploading forceps was used to grasp the ICL and slowly extract it from the eye. 

Financial Disclosures: Dr. Ferchichi Molka discloses no financial relationships. Dr. Monia Cheour discloses no financial relationships.