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

Authors

  • Andrés Germán Alza Clínica Privada de Ojos Dr. Enrique Alza, La Plata, Argentina

DOI:

https://doi.org/10.70313/2718.7446.v16.n04.271

Keywords:

intraocular lens implantation, surgical technique, modified partial bisection, 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.

References

Culp C, Qu P, Jones J et al. Clinical and histopathological findings in the dead bag syndrome. J Cataract Refract Surg 2022; 48: 177-184.

Werner L. The dead bag syndrome. J Cataract Refract Surg 2022; 48: 517-518.

Fernández-Buenaga R, Alió JL. Intraocular lens explantation after cataract surgery: indications, results, and explantation techniques. Asia Pac J Ophthalmol (Phila) 2017; 6: 372-380.

Mehta JS.; Wilkins MR, Gartry DS. Explantation of an acrylic Acrysof intraocular lens without wound enlargement. Acta Ophthalmol Scand 2005; 83: 262-263.

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Published

2023-12-20

How to Cite

[1]
Alza, A.G. 2023. 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. Oftalmología Clínica y Experimental. 16, 04 (Dec. 2023), e442-e451. DOI:https://doi.org/10.70313/2718.7446.v16.n04.271.

Issue

Section

Técnica Quirúrgica