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

Publication ,  Journal Article
Grewal, DS; Basti, S
Published in: J Cataract Refract Surg
May 2012

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.

Duke Scholars

Published In

J Cataract Refract Surg

DOI

EISSN

1873-4502

Publication Date

May 2012

Volume

38

Issue

5

Start / End Page

739 / 742

Location

United States

Related Subject Headings

  • Ophthalmology & Optometry
  • Lens Implantation, Intraocular
  • Hyaluronic Acid
  • Humans
  • Drug Combinations
  • Chondroitin Sulfates
  • Aphakia, Postcataract
  • Anterior Capsule of the Lens
  • 3212 Ophthalmology and optometry
  • 1113 Opthalmology and Optometry
 

Citation

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Grewal, D. S., & Basti, S. (2012). Modified technique for removal of Soemmerring ring and in-the-bag secondary intraocular lens placement in aphakic eyes. J Cataract Refract Surg, 38(5), 739–742. https://doi.org/10.1016/j.jcrs.2012.02.023
Grewal, Dilraj S., and Surendra Basti. “Modified technique for removal of Soemmerring ring and in-the-bag secondary intraocular lens placement in aphakic eyes.J Cataract Refract Surg 38, no. 5 (May 2012): 739–42. https://doi.org/10.1016/j.jcrs.2012.02.023.
Grewal, Dilraj S., and Surendra Basti. “Modified technique for removal of Soemmerring ring and in-the-bag secondary intraocular lens placement in aphakic eyes.J Cataract Refract Surg, vol. 38, no. 5, May 2012, pp. 739–42. Pubmed, doi:10.1016/j.jcrs.2012.02.023.

Published In

J Cataract Refract Surg

DOI

EISSN

1873-4502

Publication Date

May 2012

Volume

38

Issue

5

Start / End Page

739 / 742

Location

United States

Related Subject Headings

  • Ophthalmology & Optometry
  • Lens Implantation, Intraocular
  • Hyaluronic Acid
  • Humans
  • Drug Combinations
  • Chondroitin Sulfates
  • Aphakia, Postcataract
  • Anterior Capsule of the Lens
  • 3212 Ophthalmology and optometry
  • 1113 Opthalmology and Optometry