Modified technique for removal of Soemmerring ring and in-the-bag secondary intraocular lens placement in aphakic eyes.

Journal Article (Journal Article)

UNLABELLED: We describe modifications to previously described techniques for evacuation of Soemmerring ring during secondary intraocular lens (IOL) implantation in aphakic eyes following previous pediatric cataract surgery. A new anterior capsulotomy is initiated using a cystotome to incise the anterior capsule close to its attachment to the posterior capsule. A curved microscissor is used to cut circumferentially, completing the capsulotomy, and a dispersive ophthalmic viscoelastic device (OVD) is used to viscoexpress Soemmerring ring material from the capsular bag. A 2-handed maneuver is used to manually divide the Soemmerring ring. Finally, slow-motion phacoemulsification is used to emulsify and remove the pieces. Viscoexpression of fragments of Soemmerring ring is done if there is a posterior capsulotomy. The residual capsular bag is filled with OVD and a foldable 3-piece IOL injected into the bag and dialed in. This technique allows complete evacuation of Soemmerring ring and placement of a secondary IOL in the capsular bag. FINANCIAL DISCLOSURE: Neither author has a financial or proprietary interest in any material or method mentioned.

Full Text

Duke Authors

Cited Authors

  • Grewal, DS; Basti, S

Published Date

  • May 2012

Published In

Volume / Issue

  • 38 / 5

Start / End Page

  • 739 - 742

PubMed ID

  • 22520301

Electronic International Standard Serial Number (EISSN)

  • 1873-4502

Digital Object Identifier (DOI)

  • 10.1016/j.jcrs.2012.02.023


  • eng

Conference Location

  • United States