Für Augenärzte/innen

Phacoemulsification in irregular non-curvilinear capsulorhexis and a hard nucleus should be done outside of the bag. The Lollypop technique allows stabilisation of the nucleous in the anterior chamber and controlled chopping.

Performing hyperopic LASIK with a microkeratom risks a nasal hinge damage and irregular astigmatism. Using a specially designed oval ring allows safer hyperopic correction.

Explanting a foldable hydrophilic IOL may be done by folding the IOL intraocular without enlarging the tunnel or damaging the endothelium.

Loss of 1 of 4 haptics during multifocal lens implantation in the bag causes unavoidable decentration. We can still center the crippeled MIOL using the capsulorhexis. If that fails we must be creative.

A severe phymosis caused by uveitis disformed the capsular bag and IOL. If manual dilatation and centration of the bag is not possible, suturing of capsule tension segment to the sclera prevents the need for IOL exchange and IOL scleral fixation.

In this surgery a damaged hydrophilic sulcus IOL was folded inside the eye and explanted through a 2.7 mm tunnel without cutting the IOL. A replacement multifocal IOL was implanted in the same sulcus. An easy IOL folding and explanting technique saves time and instrumentation.

An opaque cornea with anterior and posterior synechia is a pandora box.
Only after removing the white cornea we can plan the next step.
„open sky“ cataract explantation must be quick.
A tedious sutures adjustment and replacement is time consuming.

An aphakic eye after vitrectomy and missing capsule may have a monofocal iris- fixated PMMA IOL fixated behind the iris, thus avoiding scleral fixating techniques.