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Another Possible Cause of Forceps-Induced Scratching of a Foldable Acrylic Intraocular Lens

Another Possible Cause of Forceps-Induced Scratching of a Foldable Acrylic Intraocular Lens Abstract I read with interest the letter by Vrabec et al1 about forceps-induced scratching of a foldable acrylic intraocular lens. I have had several such instances myself and, although they do not seem to affect vision, they are undesirable. On reviewing the videotape, I believe all of my cases have been caused by the.12 forceps. These were used to hold the anterior edge of the wound, scratching the foldable lens as it was inserted. I have since modified my technique and either start the lens in the incision without holding the edge with forceps or if necessary hold the edge of the wound with the forceps only to get the lens started, then insert the forceps through the side port to stabilize the eye while the lens is inserted. I use a 3.75-mm incision for the 6.0-mm acrylic lens, and this does at times require a fair amount of squeezing. References 1. Vrabec MP, Syverud JC, Burgess CJ. Forceps-induced scratching of a foldable acrylic intraocular lens . Arch Ophthalmol . 1996;114:777.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Another Possible Cause of Forceps-Induced Scratching of a Foldable Acrylic Intraocular Lens

Archives of Ophthalmology , Volume 115 (6) – Jun 1, 1997

Another Possible Cause of Forceps-Induced Scratching of a Foldable Acrylic Intraocular Lens

Abstract

Abstract I read with interest the letter by Vrabec et al1 about forceps-induced scratching of a foldable acrylic intraocular lens. I have had several such instances myself and, although they do not seem to affect vision, they are undesirable. On reviewing the videotape, I believe all of my cases have been caused by the.12 forceps. These were used to hold the anterior edge of the wound, scratching the foldable lens as it was inserted. I have since modified my technique and either start the...
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References (1)

Publisher
American Medical Association
Copyright
Copyright © 1997 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1997.01100150825033
Publisher site
See Article on Publisher Site

Abstract

Abstract I read with interest the letter by Vrabec et al1 about forceps-induced scratching of a foldable acrylic intraocular lens. I have had several such instances myself and, although they do not seem to affect vision, they are undesirable. On reviewing the videotape, I believe all of my cases have been caused by the.12 forceps. These were used to hold the anterior edge of the wound, scratching the foldable lens as it was inserted. I have since modified my technique and either start the lens in the incision without holding the edge with forceps or if necessary hold the edge of the wound with the forceps only to get the lens started, then insert the forceps through the side port to stabilize the eye while the lens is inserted. I use a 3.75-mm incision for the 6.0-mm acrylic lens, and this does at times require a fair amount of squeezing. References 1. Vrabec MP, Syverud JC, Burgess CJ. Forceps-induced scratching of a foldable acrylic intraocular lens . Arch Ophthalmol . 1996;114:777.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jun 1, 1997

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