Modified partial bisection surgical technique for the extraction of the dislocated intraocular lens-capsular bag complex

novel adaptation in a case of dead bag syndrome

Abstract

A modification of the surgical technique, called partial bisection, is presented for the extraction of a dislocated three-piece hydrophilic acrylic monobloc folding intraocular lens-capsular bag complex. The novel surgical technique uses pre-existing incisions that were made during cataract surgery. It consists of trapping the haptic of the IOL in the second-hand corneal incision to perform a partial cut of the optics of the intraocular lens. The technique was performed in an adult patient with dead bag syndrome, and no subsequent complications were observed. It is concluded that the modified partial bisection technique is safe, effective, and less likely to cause complications leading to pars plana vitrectomy.