Khoramnia R, Wallek H, Güngör H, Yildirim TM, Auffarth GU, Mayer CS. [Fixation of an intraocular lens using reverse optic capture with haptic tuck for intraoperative posterior capsule rupture].
Ophthalmologe 2021;
118:960-964. [PMID:
34143281 DOI:
10.1007/s00347-021-01432-2]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Revised: 05/03/2021] [Accepted: 05/18/2021] [Indexed: 10/21/2022]
Abstract
Exact positioning and optimal axial alignment are mandatory to achieve satisfactory postoperative refractive results after implantation of a toric or presbyopia correcting intraocular lens (IOL). Posterior capsule rupture can preclude stable capsular fixation. In such cases, reverse optic capture with haptic tuck results in stable fixation of the lens with respect to centering, rotation and axial position. Only the haptics are positioned in the capsule, behind the anterior capsulorrhexis. The optic remains in the sulcus; thus, the lens is fixed in the rhexis, providing long-term stability despite the presence of posterior capsule rupture.
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