IOL implantation techniques
Cataract surgery is also benefiting from innovations in techniques for securing the IOL in complicated cases. Dr. Osher said intrascleral haptic fixation introduced by Japanese surgeon Shin Yamane, MD, has garnered interest. At Dr. Osher’s 2018 educational meeting, Cataract Surgery: Telling It Like It Is, there will be four wetlabs teaching this sutureless method for securing a three-piece posterior chamber IOL
He noted that use of reverse optic capture for IOL stabilization has finally taken off. Testament to its growing popularity comes from consideration of the number of articles published about the technique in the past 12 months.
Coincident with this trend, Dr. Osher designed an instrument that makes it easy to prolapse the optic in front of the anterior capsulorhexis. The instrument is available from Bausch + Lomb as part of the “No Fly” set of surgical tools that Dr. Osher designed in response to the growing number of devices that are being placed under the operating microscope.
“These devices encroach on the sterile field and compromise the working space,” Dr. Osher said. “The No Fly instruments have shortened shafts, providing greater clearance, and are controlled using the fingertips instead of the hands.”