Intraoperative Posterior Chamber Lens Haptic Fixation in the Human Cadaver Eye

Abstract

The authors observed the intraoperative behavior of several posterior chamber lens (PCL) loops inserted in the human cadaver eye in a manner similar to an actual operation. The procedure was viewed under an operating microscope, and was filmed by a 16-mm movie camera. In PCLs with a length of 13-mm or more, which were originally designed for ciliary sulcus fixation, the first loop (usually the inferior loop) was easily inserted into the ciliary sulcus, but the second loop (usually the superior loop) was often misinserted into the posterior capsule. Neighboring tissues sometimes were accidentally traumatized during maneuvers to correct lens decentration. In PCLs with shorter loops, which were designed for capsular bag fixation, both loops could always be placed securely in the bag. When we compared the C-loop and the J-loop, the former was found to be excellent in its flexible nature of the loop.