DR. AMIT KUMAR DEB

, Dr. PRATIK GERA, DR. SHREYAS T S, Dr.SANDIP SARKAR

Abstract

Foldable IOL dislocation during phacoemulsification often necessitates IOL explantation through an enlarged clear corneal incision. This may lead to hypotony, anterior chamber collapse, corneal endothelial injury, and incision-related astigmatism. Placing a single-piece foldable IOL in the sulcus after retrieving it from the vitreous cavity is very challenging as compared to a 3-piece IOL. Adequate sulcus support is a prerequisite for sulcus placement. Visualization of the sulcus during surgery is often difficult due to intra-op miosis. We describe a novel technique of using iris hooks intra-operatively for visualizing the sulcus while placing a single piece foldable IOL after retrieval from the vitreous cavity. This obviates the need for an IOL explantation. This video demonstrates the successful placement of a foldable single piece posteriorly dislocated IOL in the sulcus using a technique that can be reproduced easily. The patient had good postoperative recovery of vision.