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International Ophthalmology
Published in: International Ophthalmology 2/2017

01-04-2017 | Perspectives or Expert Opinions

Two-spatulae maneuver to intraocularly flip a reverse-opened, foldable intraocular lens

Authors: Huseyin Bayramlar, Remzi Karadag, Ozgur Cakici

Published in: International Ophthalmology | Issue 2/2017

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Excerpt

Cataract surgeries are performed often all over the world, and there are many types of cartridges and injectors from different manufacturers. Hence, surgeons may encounter the situation of an intraocularly reverse-opened IOL, especially when they are unfamiliar with the type of injector or IOL. A reverse-opened IOL must be turned to the correct position, since it may cause two potential problems that are mainly due to the 5°–10° posterior angulation that a majority of IOLs have (1) pupillary block glaucoma and (2) marked myopic shift from the predicted postoperative refraction [1‐4]. Herein, we describe a simple maneuver to intraocularly reposition a reverse-opened IOL. …
Literature
1.
Xiao Y, Wang YH, Fu ZY (2004) Capsular block syndrome caused by a reversed-optic intraocular lens. J Cataract Refract Surg 30:1130–1132CrossRefPubMed
2.
Higashide T, Shimizu F, Nishimura A, Sugiyama K (2009) Anterior segment optical coherence tomography findings of reverse pupillary block after scleral-fixated sutured posterior chamber intraocular lens implantation. J Cataract Refract Surg 35:1540–1547CrossRefPubMed
3.
Aydin B, Erdurmus M, Yagci R, Karadag R, Hepsen IF (2008) Pupillary block due to reverse implantation of angulated posterior chamber intraocular lens. Glo-Kat 3:208–210
4.
Erdurmus M, Karadag R, Aydin B, Hepsen IF (2008) Capsular block syndrome: a case report and review of the literature. Glo-Kat 3:261–264
5.
Bayramlar H, Hepsen IF, Yilmaz H (2006) Myopic shift from the predicted refraction after sulcus fixation of PMMA posterior chamber intraocular lenses. Can J Ophthalmol 41:78–82CrossRefPubMed
Metadata
Title
Two-spatulae maneuver to intraocularly flip a reverse-opened, foldable intraocular lens
Authors
Huseyin Bayramlar
Remzi Karadag
Ozgur Cakici
Publication date
01-04-2017
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 2/2017
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-016-0238-z

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