Subluxated lens: phacoemulsification with iris hooks

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J Cataract Refract Surg. 2003 Dec; 29(12): 2269-73. Related Articles,

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Subluxated lens: phacoemulsification with iris hooks.

Santoro S, Sannace C, Cascella MC, Lavermicocca N.

Ophthalmology Department, San degli Angeli Hospital, Putignano, Bari,

Italy. centrooftalmologico@...

We describe a technique to manage subluxated cataracts with the use of 4 or

5 disposable nylon iris hooks placed on the capsulorhexis edge to support

the lens and stabilize the capsular bag during phacoemulsification. The use

of an endocapsular tension ring provides excellent centration of the

capsular bag, enabling endocapsular intraocular lens (IOL) implantation.

Sixteen eyes with zonular dialysis between 90 degrees and 180 degrees had

surgery with this technique. The mean visual acuity significantly improved

from 0.26 +/- 0.18 to 0.68 +/- 0.33 (P<.001). The surgeries were uneventful.

Postoperative complications included cystoid macular edema 5 months after

surgery in 1 eye and slight IOL dislocation with no symptoms detected 2

months after surgery in 4 eyes. The technique appears to be safe, ensuring a

stable IOL with reduced surgical risks.

PMID: 14709283 [PubMed - in process]