By Robert J. Cionni MD (auth.), Thomas Kohnen, Douglas D. Koch MD (eds.)

Te sequence necessities in Ophthalmology used to be initi- to debate clinically suitable and applicable t- ated years in the past to expedite the well timed trans- ics. Summaries of clinically correct info fer of latest details in imaginative and prescient technology and feature been supplied all through each one bankruptcy. evidence-based drugs into medical perform. each one subspecialty region now has been coated We concept that this prospicient inspiration will be as soon as, and the reaction to the frst 8 volumes moved and guided by way of a resolute dedication within the sequence has been enthusiastically confident. to excellence. it really is average to now replace our With the beginning of the second one cycle of subspecialty readers with what has been completed. assurance, the dissemination of sensible informa- Te instant aim was once to move informa- tion might be persevered as we examine extra approximately tion via a top quality quarterly ebook the rising advances in a variety of ophthalmic within which ophthalmology will be represented by way of subspecialties that may be utilized to acquire the 8 subspecialties. during this regard, every one factor has absolute best care of our sufferers. in addition, we had a subspecialty subject and has been overseen will proceed to spotlight clinically appropriate - via the world over well-known quantity edi- formation and keep our dedication to - tors, who in flip have invited a bevy of specialists cellence. G. ok. Krieglstein R. N.

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Dick HB. Closed foldable capsular rings. J Cataract Refract Surg 2005;31(3):467–471. 10. Gross JG, Kokame GT, Weinberg DV. Dislocated in-the-bag intraocular lens study group. In-thebag intraocular lens dislocation. Am J Ophthalmol 2004;137(4):630–635. 11. Jacob S, Agarwal A, Agarwal A, Agarwal S, Patel N, Lal V. Efficacy of a capsular tension ring for phacoemulsification in eyes with zonular dialysis. J Cataract Refract Surg 2003;29(2):315–321. 12. Lifshitz T, Levy J, Klemperer I. Artisan aphakic intraocular lens in children with subluxated crystalline lenses.

The main advantage of this approach is avoiding the large corneal or scleral opening required to remove the IOL while still in the capsular bag. Most of these techniques are based on externalizing an element of the haptic in order to tie the suture [15]. 7 Dislocation of Capsular PC-IOL Fig. 6 The “closed system scleral fixation” technique. 0 mm posterior to the limbus behind the IOL loop. A 27G needle is inserted through a paracentesis on the opposite side to guide the suture needle through the incision.

A 27G needle is inserted through a paracentesis on the opposite side to guide the suture needle through the incision. b The suture needle is rotated 180° and reinserted through the same paracen- tesis. The 27G needle is inserted through the scleral wall to pass in front of the IOL loop. c A ring suture is created around the IOL haptic. A similar procedure is carried out on the opposite side. d Final position of the IOL. The knots are buried and no scleral flaps are needed. The entire procedure was performed through two paracenteses and four needle holes outside the capsular bag [5].

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