Catcher Pole for Intrascleral IOL Fixation

In this surgical video, Dr. Ciro Tamburrelli demonstrates a simplified technique for intrascleral fixation of a 3-piece subluxated IOL. He begins by making 2 scleral tunnels on each side of the horizontal meridian. Adapting a 23-gauge loop Alcon retinal scraper, he uses the tool as a "catcher pole" by inserting it into the temporal tunnel to externalize the tip with minimal damage. The ends of the haptics are cauterized to prevent slippage into the scleral tunnel. Due to the length and conformation of the tunnel, Dr. Tamburreli has only encountered 1 case of slippage; that patient had combined vitreoretinal surgery for a large retinal dialysis with silicone oil tamponade and slight overfilling.

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