IOL Exchange. Tips. Phaco Training.

By | August 2, 2015

IOL Exchange from Sight Savers

Preferable with 2 weeks

Dilate well

Make sure there is no synechae

Take the visco cannula and move the tip all around 270 degrees

At the rhexis margin by injecting visco

Slowly the bag separates from the IOL

Then try to dial IOL only 5 degrees to see whether it is free

If not, inject visco again

This time go bit deep in the bag and inject

Hydrophilic IOL comes out easily

Either extend the corneal wound or

Make a small sclera-corneal tunnel

May need a suture

Hydrophobic IOL needs to be cut

Tends to stick to the capsule very early

Through and through not needed

Half optic needs to be cut

Can be cut with Vannus

Remove one half first

Take endothelial reading before doing it

If count less than 1700 or so, better to do sclero-corneal tunnel

Otherwise remove through corneal tunnel

Pull and Cut technique.

Prolapse one haptic into AC.

Grasp and pull through tunnel.

Cut IOL with Vanuus through and through.vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv