Over and over again, we have seen videos of surgeons using the wound assist technique to deliver the IOL as the eye drifts out of view and we feel that uneasiness as the IOL is inserted. With a larger incision, we can get the tip of the IOL injector completely into the incision. The wound assist technique means that we can use a smaller incision but then the tip of the IOL injector is simply abutted up against the incision. With a two-handed injector system, we can often have the eye shoved away from us. For a surgeon with a temporal phaco incision, this could mean shoving the eye into the nasal canthus as the IOL is delivered. This is not ideal and there is a better way. We can start with abutting the incision with a two handed IOL injection technique and then as the IOL enters the eye, we can bring the eye back to primary position to improve our view. This video shows the way that I approach these cases. Please comment below with your best pearls and wisdom for wound assist IOLs.
I’m surprised you didn’t repeat your previous advice on dropping the hands to bring the eye back to primary. I found that very useful.