Articles related to INTRAOCULAR LENS (IOL)

For a comprehensive approach to refractive IOL surgery, understanding the nuances of preoperative assessment and ocular surface optimization is essential. Dive deeper into effective protocols to ensure optimal patient outcomes.

After cataract surgery, a fragment of the lens is thought to stay in the eye in 0.3% to 1.1% of cases. Following cataract surgery, the retained cortex and nucleus respond differently: While the nucleus triggers a potent, destructive inflammatory response, the cortex only induces low-grade inflammation. Increased postoperative drops are administered more frequently, and if necessary, IOP-lowering medications are added.

The most difficult aspect of epiretinal membrane (ERM) peeling may be the timing — early removal allows the membrane to reappear, whereas later surgery may impair restored visual acuity. An analysis published in BMC Ophthalmology evaluates clinical outcomes for patients with diffractive multifocal intraocular lenses (MIOLs) and compares how changing levels of ERM affect recovery.

This technique for placing an IOL without capsular support has a steep learning curve, but once mastered, it should take only 15 to 20 minutes to complete. The most difficult aspects of this technique are measuring for needle insertion sites and lacing the trailing haptic into the needle lumen. Lacing the trailing haptic is probably the most difficult intraocular maneuver. This is a difficult task, but with the right approach and equipment, unnecessary complications can be avoided.

This physician’s surgical video demonstrating the management of a symptomatic dislocated posterior chamber intraocular lens (IOL) with a Siepser slipknot suture technique is an oldie but a goodie, as many eye care specialists have commented.