INTRAOCULAR-LENS REPLACEMENT - ADVANTAGES OF A BIMANUAL TECHNIQUE WITH PRESET ENDOILLUMINATION

Performing a vitrectomy using a bimanual technique with a preset light inserted in the inferonasal quadrant of the eye leaves both hands fre e to grasp an intraocular lens (IOL) completely dislocated into the vi treous cavity. Two additional scleral grooves with flaps (surgeon's vi ew) at the 2:30 and 8:30 o'clock positions (right eye) or at the 3:30 and 9:30 o'clock positions (left eye) allow the haptics to be guided t o the desired positions in the ciliary sulcus. This technique allows p ermanent, controllable relocation of the IOL. The haptics of the IOL c an be visualized while the suture is placed, and the IOL finally rests near the horizontal meridian, away from the corneoscleral wound.