3013: This is when to twist the injector tip to prevent an upside down IOL
Proper intraocular lens orientation is essential for optimal post-operative refractive outcomes, and as the IOL is being delivered, pause and look carefully: This is when to twist the injector tip! As the leading haptic and optic exit the cartridge, observing the initial unfolding configuration allows the surgeon to detect an impending inverted delivery before the lens fully expands in the anterior chamber. Performing a prompt counter-rotation or twist of the injector handpiece at this critical juncture redirects the unfolding haptics into the desired “7L” orientation preventing an upside-down IOL that would otherwise require intraocular flipping or exchange. Watch the video to see how recognizing this precise moment for intra-wound manipulation ensures smooth, correct placement directly into the capsular bag. What visual cues or handpiece maneuvers do you rely on to prevent or correct an upside-down IOL injection mid-delivery? Please comment your thoughts below.
