Iris retractor-assisted optic capture of a 3-piece intraocular lens

Optic capture of a three-piece lens in the absence of posterior capsule support is an effective strategy for stabilizing and sequestering the optic to reduce the risk of dislocation and UGH syndrome compared to sulcus placement. We present a novel technique that facilitates optic capture in the pres...

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Main Authors: Jordan Philip Safran, Steven Safran
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993624000896
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author Jordan Philip Safran
Steven Safran
author_facet Jordan Philip Safran
Steven Safran
author_sort Jordan Philip Safran
collection DOAJ
description Optic capture of a three-piece lens in the absence of posterior capsule support is an effective strategy for stabilizing and sequestering the optic to reduce the risk of dislocation and UGH syndrome compared to sulcus placement. We present a novel technique that facilitates optic capture in the presence of a contracted, fibrotic rhexis opening, while minimizing stress on the zonules by using iris retractors to assist in stabilization and expansion of the rhexis, followed by direct injection of the optic of the lens behind the anterior capsule opening into an optic captured configuration.
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issn 2451-9936
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publishDate 2024-12-01
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series American Journal of Ophthalmology Case Reports
spelling doaj-art-e9ad26c2e65c428488c0ef6bdaa35e822025-08-20T01:57:51ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362024-12-013610207910.1016/j.ajoc.2024.102079Iris retractor-assisted optic capture of a 3-piece intraocular lensJordan Philip Safran0Steven Safran1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA; Corresponding author. Thomas Jefferson University Sidney Kimmel Medical College Philadelphia, Pennsylvania, Philadelphia, PA, 19107, USA.Capital Health, Trenton, NJ, USAOptic capture of a three-piece lens in the absence of posterior capsule support is an effective strategy for stabilizing and sequestering the optic to reduce the risk of dislocation and UGH syndrome compared to sulcus placement. We present a novel technique that facilitates optic capture in the presence of a contracted, fibrotic rhexis opening, while minimizing stress on the zonules by using iris retractors to assist in stabilization and expansion of the rhexis, followed by direct injection of the optic of the lens behind the anterior capsule opening into an optic captured configuration.http://www.sciencedirect.com/science/article/pii/S2451993624000896Intraocular lensDislocationOptic captureIOL exchange
spellingShingle Jordan Philip Safran
Steven Safran
Iris retractor-assisted optic capture of a 3-piece intraocular lens
American Journal of Ophthalmology Case Reports
Intraocular lens
Dislocation
Optic capture
IOL exchange
title Iris retractor-assisted optic capture of a 3-piece intraocular lens
title_full Iris retractor-assisted optic capture of a 3-piece intraocular lens
title_fullStr Iris retractor-assisted optic capture of a 3-piece intraocular lens
title_full_unstemmed Iris retractor-assisted optic capture of a 3-piece intraocular lens
title_short Iris retractor-assisted optic capture of a 3-piece intraocular lens
title_sort iris retractor assisted optic capture of a 3 piece intraocular lens
topic Intraocular lens
Dislocation
Optic capture
IOL exchange
url http://www.sciencedirect.com/science/article/pii/S2451993624000896
work_keys_str_mv AT jordanphilipsafran irisretractorassistedopticcaptureofa3pieceintraocularlens
AT stevensafran irisretractorassistedopticcaptureofa3pieceintraocularlens