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    Reverse optic capture effective for posterior capsule tears


    When no vitreous was seen in the anterior chamber, Dr. Hoffman hydrated the incision and kept the irrigator in the eye to maintain the pressure and prevent vitreous from coming from around the lens.

    “The reality was that with the optic captured on the rhexis, even if the chamber did become shallow, additional vitreous probably would not have come forward,” Dr. Hoffman said.

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    He finished the surgery by hydrating the wounds, removing the infusing cannula, and injecting Miochol-E (acetylcholine, Bausch & Lomb) into the anterior chamber.

    Three months postoperatively, the IOL remained centered. OCT showed good clearance between the anterior surface of the IOL and the posterior surface of the iris.


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    • [email protected]
      I also use the Hoya iSert IOL used in this video. I have had 2 suspected cases of equatorial PC tears both of which did well with IOL rotation away from the suspected tear. No vitreous presentation occurred. The IOLs have stayed stable. This is an excellent technique for securely fixating the IOL. My recommendation when using this IOL is to pull back a little once the optic has cleared the injector so as not to push the IOL too far towards the equator. With the exception of this particular problem, I find this IOL one of the easiest to insert, haptics never stick, excellent optics, and so far a very low PCO rate.


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