EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
Issue link: https://digital.eyeworld.org/i/111385
If the insertion of an ICL is difficult or traumatic and the lens is touched too much, an anterior, subcapsular cataract may result soon after surgery. Source (all): EyeWorld defect has not enlarged, he recommends converting it into a strong posterior capsulorhexis. If this is not possible, he suggests using an iriscapture technique, whereby the haptics are placed in front of the anterior capsule into the ciliary sulcus, while the optic is pushed through the anterior capsulorhexis. ���By pushing the optic posteriorly behind through the anterior capsulorhexis, the IOL gets stabilized as if it is locked,��� he said. Outcomes with these lens-touch cases ultimately depend on macular function. ���Many times with these complicated posterior segment surgeries, the macular function is not very good,��� Dr. Vasavada said. ���But if it is good then the visual prognosis is as well.��� Overall, Dr. Lindstrom takes a practical view of these cataracts. ���The nature of the lens is that any mechanical, chemical, or inflammatory insult causes it to become opaque,��� Dr. Lindstrom said. ���We don���t have a way to prevent it, but once you have the cataract we do have a good way to treat it.��� EW Editors��� note: Dr. Lindstrom has financial interests with Alcon, Abbott Medical Optics (Santa Ana, Calif.), and Bausch + Lomb (Rochester, N.Y.). Dr. Vasavada has financial interests with Alcon. Dr. Packer has no financial interests related to this article. Contact information Lindstrom: 952-567-6051, rllindstrom@mneye.com Packer: mark@markpackerconsulting.com Vasavada: +91-79-27492303, icirc@abhayvasavada.com