Editors' Choice
    Cataract/Anterior Segment, Complications, IOLs and Implantation, Retina/Vitreous

    Dr. Vincent Ho manages a patient with a dislocated bag/capsular tension ring/IOL complex from aborted cataract surgery. The capsular tension ring was freed from the capsular bag and removed with a combination of MaxGrip and MST forceps. Next, the 3-piece MN60AC lens inside the eye was scleral fixated using a modified Yamane technique with 27-gauge MaxGrip forceps. Dr. Ho offers several tips for perfecting this technique:

    • Place the IOL approximately 2.25 to 2.5 mm behind the limbus
    • Grasp the distal haptic with the distal half of the forceps platform to prevent stress on the forceps and fracturing during externalization
    • Rotate the first externalized haptic inferiorly to position the IOL, enabling an easier second grab inside the eye
    • Stabilize the first haptic with forceps while externalizing the second haptic
    • Leave the anterior capsule remnants or create an inferior PI to lessen the chance of reverse pupillary block

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