OCT 10, 2018
Stone Basket Removal of Dropped Lens
YO Video Competition
03:10
Cataract/Anterior Segment, Complications, New Technology and Instruments
Drs. Shriji Patel and Alia Durrani demonstrate the intraocular use of a renal stone basket to remove a dislocated brunescent cataract in a 44-year-old man with several special considerations, including phacodonesis, microphthalmia with iris coloboma, chorioretinal coloboma with axial elongation and nystagmus. He was scheduled for a primary vitrectomy with lensectomy, but it was predictably difficult to break up and remove the lens. When zonular support gave way and the lens fell into the back of the eye, no instruments were long enough to reach the lens. The surgeons anticipated this complication and retrieved the lens using a Zero Tip Nitinol Stone Retrieval Basket (Boston Scientific), which is typically used by urologists to remove renal stones.
Relevant Financial Disclosures: None