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Tuck-and-pull technique for posterior chamber phakic intraocular lens explantation.
Indian Journal of Ophthalmology ( IF 3.1 ) Pub Date : 2021-12-01 , DOI: 10.4103/ijo.ijo_652_21
Efekan Coskunseven 1 , Belma Kayhan 2 , Mirko R Jankov Ii 3
Affiliation  

The tuck-and-pull technique was developed for practical and safe explantations of posterior chamber phakic intraocular lenses (PCPIOLs). In this technique, after the creation of a side port, viscoelastic (or OVD [ophthalmic viscosurgical device]) is initially injected behind the PCPIOL to widen the space between PCPIOL and the crystalline lens. The old incisions can be used after recent implantations rendering the enlargement of the main incision unnecessary. After additional OVD over and under the PCPIOL, the haptic is tucked by a chopper and pulled through the main incision with a single maneuver. The haptic is grasped by two suture forceps and explanted with a "hand-to-hand" maneuver. The tuck-and-pull technique provided high protection of the corneal endothelium, crystalline lens, anterior chamber structures, and the PCPIOL itself. This technique is a practical, easy, and safe approach for explantations of all PCPIOL types, whatever the reason for its explantation may be.

中文翻译:

后房有晶状体人工晶状体摘除术的 Tuck-and-pull 技术。

为实用和安全的后房型有晶状体人工晶状体 (PCPIOLs) 移植而开发了 Tuck-and-pull 技术。在这种技术中,在创建侧端口后,最初将粘弹性(或 OVD [眼科粘手术装置])注入 PCPIOL 后面,以扩大 PCPIOL 和晶状体之间的空间。旧切口可在近期植入后使用,无需扩大主切口。在 PCPIOL 上方和下方进行额外的 OVD 后,触觉被切碎器折叠,并通过一次操作拉过主切口。触觉由两个缝合钳抓住并通过“手对手”操作进行外植。折拉技术为角膜内皮、晶状体、前房结构和 PCPIOL 本身提供了高度保护。
更新日期:2021-11-28
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