-: This is the case of an aphakic patient who underwent
secondary iris claw lens implantation
after IOL explantation and anterior vitrectomy.
We started by performing 2 paracenteses at 3 and 9 o'clock,
then created a fornix-based conjunctival flap
and applied a scleral cautery.
After that, we placed a suture traction,
marked 2 millimeters distance from the limbus,
and made a 6-millimeter scleral incision.
Next, we created a scleral corneal tunnel
extended 1.5 millimeters
to the clear cornea using crescent blade
and injected viscoelastic into the anterior chamber
and behind the iris to distance the iris from the vitreous.
Then, a keratotomy was performed using the 2.2-
millimeter knife, and viscoelastic was re-injected.
We inserted the iris claw lens
and rotated to horizontal position
and slid it through the pupil behind the iris.
At the same time,
a micromanipulator exerted a slight pressure
on the iris to enclose it in the claw.
The same maneuver was repeated in the other side.
Finally, we checked the self-sealing
of the wound and cauterized the conjunctival flap.
Thank you.