Program list

Closed eye technique for the repositioning of luxated and subluxated IOL

Cesare Forlini

Ravenna, Italy

In presence of luxated and subluxated IOL the surgical strategy depends on a mixing of different factors, among which there are the kind of IOL, the experience of the surgeon and the available instrumentation. We show different kinds of IOL where we need vitrectomy techniques in order to solve the problem. The via pars plana entries, necessary to remove the vitreous body, become very useful for the manipulations to re-fix the same IOL in the sclera. We show different techniques, but they are all based on performing a hook, which allows us to capture the haptic part of the IOL avoiding the reopening of the limbus for the change of IOL. The different materials of the IOL and the surgeon’s experience and creativity allows different solutions to obtain the best goal. We think that in every case a complete vitrectomy and the detachment of posterior hyaloid are very important to prevent the late complication of this surgery.