The small incision through which foldable acrylic intraocular lenses (IOLs)
are implanted does not allow easy explantation of the lens in the event of
intraoperative complications. Reversal of the IOL optic during insertion,
although rare, can predispose to postoperative complications such as pupill
ary capture of the IOL, capsule bag distension syndrome, and refractive pro
blems. Explanting the IOL can damage it, the cataract wound, or both. We de
scribe a technique of in situ tumbling of the AcrySof(R) IOL to correct rev
ersed-optic implantation that preserves the integrity of the IOL and anteri
or segment structures. (C) 2000 ASCRS and ESCRS.