SURGICAL TECHNIQUES FOR REPOSITIONING A DISLOCATED INTRAOCULAR-LENS, REPAIR OF IRIDODIALYSIS, AND SECONDARY INTRAOCULAR-LENS IMPLANTATION USING INNOVATIVE 25-GAUGE FORCEPS

PURPOSE: We developed surgical techniques for the sulcus fixation of a posteriorly dislocated or secondarily implanted posterior chamber int raocular lens, repair of an iridodialysis, and the management of a dec entered intraocular lens during vitreous surgery using innovative 25 g auge forceps. METHODS: The 25 gauge forceps have a curved shaft, a tip with a distal platform for grasping a suture, and a proximal groove f or gripping a haptic. The forceps are inserted through a grooved scler al incision into the plane of the ciliary sulcus, facilitating manipul ations such as fastening a suture loop around a haptic, repositing an intraocular lens at the ciliary sulcus, and grasping sutures during re pair of a iridodialysis or implantation of a secondary intraocular len s. Seven patients underwent vitreous surgery using the new forceps. RE SULTS: In all seven patients the surgical objectives were accomplished with the 25 gauge forceps without postoperative complications such as hemorrhage, hypotony, or lens decentration. CONCLUSIONS: The 25-gauge forceps are innovative instrumentation designed specifically for ante rior segment applications during vitreous surgery.