When no vitreous was seen in the anterior chamber, Dr. Hoffman hydrated the incision and kept the irrigator in the eye to maintain the pressure and prevent vitreous from coming from around the lens.
“The reality was that with the optic captured on the rhexis, even if the chamber did become shallow, additional vitreous probably would not have come forward,” Dr. Hoffman said.
He finished the surgery by hydrating the wounds, removing the infusing cannula, and injecting Miochol-E (acetylcholine, Bausch & Lomb) into the anterior chamber.
Three months postoperatively, the IOL remained centered. OCT showed good clearance between the anterior surface of the IOL and the posterior surface of the iris.