1126: the IOL is stuck in the incision

When we move to smaller phaco incisions such as 2.2 mm or 2.4 mm wide, we accept that we will use the wound assist technique to deliver the IOL. Let’s be frank here and admit that a 2.4 mm incision is just about the same as a 2.75 mm incision and that there is a point of diminishing returns. Do we really want to go back to the era of 1 mm incisions and the “thin optics” IOLs? That was not a great choice and we now know that anything less than 3 mm in width is fine.

In this case, we have a very talented and very experienced surgeon, Dr Anton Eijpe from the Netherlands. He has previously featured cases here on CataractCoach and there is no question that he is a superbly talented surgeon. This video features a case where the IOL gets stuck in the incision. How would you handle the case?

click to see how to effectively handle this tough situation and finish the case: