FINDING THE RETINAL HOLE IN THE PSEUDOPHAKIC EYE WITH DETACHMENT

The recently developed wide-field indirect contact lenses, recommended and used for pancoagulation of the retina posterior to the equator, h ave proved to be unexpectedly advantageous for finding retinal breaks anterior to the equator in the pseudophakic eye. Through a 6-mm pupil, it is possible with some ocular rotations, tilting of the lens, and s cleral depression to bring into view the retina anterior to the equato r and frequently the bra serrata. We found or confirmed 45 small retin al breaks anterior to the equator in 24 retinal detachments in pseudop hakic eyes with the wide-field indirect contact lens. The indirect con tact lens eliminates the blur that occurs when viewing through the edg e of the intraocular lens, and its image suffers less interference fro m lens and capsular opacities.