DR. ASHISH MARKAN

Abstract

A 27 G infusion cannula was secured in the inferonasal quadrant. Following this, scleral tunnels

were made with a 27-gauge trocar 2mm from the corneal limbus at the 2 o’clock and 8 o’clock

positions. The trochar was initially inserted parallel to the limbus for approximately 2 mm and

then directed towards the center of the eye. After this, a 3-piece IOL was inserted into the

anterior chamber using an injector, and the trailing haptic was held outside to prevent the IOL

from falling into the vitreous cavity. Using two 27 G max grip forceps (one inserted through the

27G cannula and other through the opposite MVR entry at limbus), the haptic was guided into

the tip of forceps inserted through the 27G cannula. The trochar was externalized after pulling the

cannula onto the shaft of the forceps. Similar technique was used for the trailing haptic. Both

the haptic ends were flanged using the heated tip of the localizer used in buckling surgery. The haptics

were then inserted into the tunnel.