Online ISSN: 2515-8260

Simplified technique of Loading and insertion of foldable intraocular lens

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Dole Nandakumar B1 , Deshmukh Shailendra2 , Mohite Uday S3 , Gosavi Vivek Suresh4

Abstract

Introduction: We have described a simple technique for loading and insertion of single piece foldable intraocular lens in cataract surgery. In this technique cartridge lumen is filled with viscoelastic solution and then intraocular lens (IOL) is placed over it. Left edge of the optic is pushed behind the ridge of the groove with McPherson forcep. Then the wings of the cartridge are slightly approximated and right side of the optic is pushed behind the ridge. This locks the optic behind the ridge of cartridge. The leading haptic is placed inside the groove. Now the trailing haptic is pushed in the groove, the tip of the haptic is pushed below the optic as much as possible. This will tuck the haptic not allowing to get it trapped in between the wings of cartridge and also do not leave space in between the haptic and cartridge lumen for a chance for overriding of plunger over trailing haptic or optic. Both wings of the cartridge are approximated properly. Cartridge is fitted on to the injector. Cartridge tip is inserted in a rotating manner through the corneal wound. While delivering IOL, injector is rotated in such a way that the lens is delivered in a desired horizontal placement

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