Modified technique for removal of Soemmerring ring and in-the-bag secondary intraocular lens placement in aphakic eyes

Dilraj S. Grewal, Surendra Basti*

*Corresponding author for this work

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

We describe modifications to previously described techniques for evacuation of Soemmerring ring during secondary intraocular lens (IOL) implantation in aphakic eyes following previous pediatric cataract surgery. A new anterior capsulotomy is initiated using a cystotome to incise the anterior capsule close to its attachment to the posterior capsule. A curved microscissor is used to cut circumferentially, completing the capsulotomy, and a dispersive ophthalmic viscoelastic device (OVD) is used to viscoexpress Soemmerring ring material from the capsular bag. A 2-handed maneuver is used to manually divide the Soemmerring ring. Finally, slow-motion phacoemulsification is used to emulsify and remove the pieces. Viscoexpression of fragments of Soemmerring ring is done if there is a posterior capsulotomy. The residual capsular bag is filled with OVD and a foldable 3-piece IOL injected into the bag and dialed in. This technique allows complete evacuation of Soemmerring ring and placement of a secondary IOL in the capsular bag. Financial Disclosure: Neither author has a financial or proprietary interest in any material or method mentioned.

Original languageEnglish (US)
Pages (from-to)739-742
Number of pages4
JournalJournal of cataract and refractive surgery
Volume38
Issue number5
DOIs
StatePublished - May 1 2012

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology
  • Sensory Systems

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