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Removal of dilocated IOL using the distal haptic technique


Didier Ducournau

Nantes, France

One hesitates to use PFCL when its stimulating effects on cell growth are known. It seems to be better to pick up the IOL with a forceps. We are spontaneously inclined to grasp the proximal haptic (the closest from the sclerotomy); the angle between the forceps and the IOL is thus obtuse and the IOL spreads out. In these conditions placing the IOL in the anterior chamber is often technically difficult. When selecting the most distant haptic, with an acute angle between IOL and forceps, we can benefit from the elasticity of the proximal haptic when placing it first in the anterior chamber at the 12 o'clock meridian, before placing the complete IOL.

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