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Careful cataract surgery by implantation of a hydrophob foldable acryl lens in combined anterior/posterior surgery


Frank Wilhelm, G. Duncker, C. Werschnik

Germany

In many cases of vitrectomy primary cataract surgery is necessary to improve the view to the retina. Foldable IOLs are implanted with because the decreased large of incision for implantation. Because of the adhesion of silicon oil acrylic lenses are favoured.
We perform the first experiences with the hydrophilic foldable acrylic IOL "sensar" in combined procedures of cataract surgery and vitrectomy. The simple handling of the unfolder injector allows a careful and quick implantation of the IOL through a small incision.
We have to discuss is the primary posterior capsulotomy necessary because developing opacification or later YAG-capsulotomy allowing better view in removing for example decaline in cases of gas endotamponate.


 


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