Abstract
Retro-intraocular lens (IOL) irrigation-aspiration is of paramount importance in order to remove the viscoelastic substance from the retro-IOL space and to prevent any early post-operative capsular block syndrome. However, manoeuvring the IOL to reach the retro-IOL space may be difficult at the hands of novice surgeons despite the use of coaxial or bimanual irrigation-aspiration probes. We describe a simpler and safer technique in order to facilitate the removal of this retro-IOL viscoelastic substance using a 26-Gauge bent-cannula mounted on a 2-ml syringe. The fluid is injected forcefully along with sideways movement of cannula in a single-plane to displace the viscoelastic substance.
Highlights
Cataract is the leading cause of preventable blindness in the world
We describe a simpler and safer technique in order to facilitate the removal of this retro-intraocular lens (IOL) viscoelastic substance using a 26Gauge bent-cannula mounted on a 2-ml syringe
Careful slit lamp examination to look for anterior chamber reaction, vitreous reaction, fluid accumulation behind the IOL and posterior capsular opacification (PCO) was done at every visit
Summary
Cataract is the leading cause of preventable blindness in the world. Extra capsular cataract extraction is the norm wherein a significant part of the anterior lens capsule is removed leaving behind a rim of its remnant, which either forms the anterior extent of the resulting capsular bag or the posterior boundary of the sulcus. Capsular block syndrome (CBS) is a relatively uncommon complication of phacoemulsification with its incidence ranging between 0.3-1.6% [1,2,3,4,5] It is characterized by hyperdistention of the capsular bag with accumulation of fluid in between the intraocular lens (IOL) and posterior capsule, as a result of the circumferential adherence between the remaining anterior capsule and IOL. It is classified on the basis of timing of occurrence by Miyake et al into intra-operative, early, late post-operative CBS, and on the basis of the pathological process into non-cellular, inflammatory and fibrotic types by Kim and Shin in 2008 [6,7]. Retro-IOL fluid accumulation with consequent anterior bowing of lens-iris diaphragm may result in secondary myopiasation, ocular hypertension or glaucoma depending upon the duration and severity of insult
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
