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    Performing cataract surgery with phaco in patients with previous implantations

    Outcomes of phacoemulsification in eyes with iris-fixated phakic IOL implants

     

    Surgical technique

    A limbal 2.5-mm incision was made at the temporal superior quadrant. The corneal endothelium was protected with the use of an ophthalmic viscosurgical device (Viscoat, Alcon Laboratories) as well as the presence of the remaining pIOL as a protection shield.

    No turbulences within the anterior chamber were visible. Phacoemulsification took place using the Ocusystem II Advantage (Surgical Design) with mini cobra tip; very low infusion height; low I/A values; and power settings.

    Dr Klass described the surgical method as being “difficult and complex”. Placement of the incision, continuous curvilinear capsulorhexis performance (CCC); special phaco techniques, such as splitting the nucleus with viscodelineation/dissection4; and machine settings are described in an upcoming paper.

    Refractive results, endothelial-cell-density and BCVA were analysed.

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