3012: Quiz: Don’t inject the IOL yet. Why?
This Cataract Quiz™ case highlights a critical safety pause before committing to intraocular lens placement: Don’t inject the IOL yet! Looking closely at the 5 o’clock position directly beneath the main incision, a hidden nuclear fragment is trapped at the capsular equator and retroiridal space. Pausing the procedure to mobilize and aspirate this sub-incisional material prevents trapping it or getting entangled with the IOL haptics or optic, which could lead to persistent postoperative inflammation, elevated intraocular pressure, or a secondary procedure. Watch the video to see how this sub-incisional fragment is successfully coaxed out and cleared before safely delivering the IOL. What is your go-to technique or irrigation/aspiration maneuver for clearing recalcitrant sub-incisional cortex and lens material? Please comment your pearls below.
Hello! Uday Devgan!
We wish you well, please tell us about cataract voach 3012 cataracts, which lens to implant?
Manager Klei Lika
Greeting from Tirane
For retained subincisional recalcitrant córtex I use bimanual I-A or a combinación of the coaxial standard I-A with Irrigation , and use the aspiration cannula through the paracentesis. If the retained nucleous is hard, I prefer to use the phaco handpiece once once the retained material is in te center of the anterior chamber