When we implant a toric IOL to address pre-existing corneal astigmatism, we need to orient the axis of the IOL precisely for the maximum refractive benefit. There are cases where the IOL can mis-rotate in the eye during the healing period due to retained viscoelastic which acts as a lubricant between the optic and the capsule or due to patient healing response, anatomic variations, or jarring activities. If the IOL mis-rotates during the immediate post-op period it is relatively easy to reposition it because the capsule bag is open and the shrink-wrap effect has not yet occurred. But how do you reposition a toric IOL many months (or longer) after the original cataract surgery? This video shows you my best pearls for success.
Excellent demonstration! Thanx for the tips!
Mr Devgan,you don’t need to pull the haptics out of the bag,right?
As long as you have confirmed that the haptics are free, you don’t necessarily need to bring them out of the capsular bag.