Single-piece S-plasty for small-incision IOL removal. Issue 10 (October 2021)

• Record Type: Journal Article
• Authors: Coassin, Marco; Mori, Tommaso; McLeod, Stephen D.
• Is Part Of: Journal of cataract and refractive surgery. Volume 47:Issue 10(2021)
• Page Start: 1367
• Page End: 1368
• Publication Date: 2021-10
• Subjects: 617.7
• DOI: 10.1097/j.jcrs.0000000000000471
• Languages: English
• ISSNs: 0886-3350

Abstract

Abstract : A foldable acrylic intraocular lens (IOL) with a 6.0 mm optic was removed through a 2.2 mm corneal incision as a single piece with minimal wound trauma. By viscodissection, the IOL was freed from its position in the capsular bag and moved into the anterior chamber. Vannas scissors were introduced through a 2.2 mm corneal incision. A 4.5 mm straight slit was cut at each optic–haptic junction on opposite sides, perpendicular to each haptic shaft. This pair of parallel cuts generated 3 IOL segments in an S configuration that remained connected. The IOL was grasped by 1 haptic and removed as a single piece.